Provider Demographics
NPI:1174723407
Name:TEDROW, JOHN RAHUL (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RAHUL
Last Name:TEDROW
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Gender:M
Credentials:MD
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Mailing Address - Street 1:77 WARREN ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3601
Mailing Address - Country:US
Mailing Address - Phone:617-789-2545
Mailing Address - Fax:617-789-2893
Practice Address - Street 1:77 WARREN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3601
Practice Address - Country:US
Practice Address - Phone:617-789-2545
Practice Address - Fax:617-789-2893
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2017-05-10
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Provider Licenses
StateLicense IDTaxonomies
MA269302207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease