Provider Demographics
NPI:1437140324
Name:TESS, CHRISTOPHER MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MATTHEW
Last Name:TESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:294 WASHINGTON ST
Practice Address - Street 2:210 DTN 210
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4608
Practice Address - Country:US
Practice Address - Phone:617-728-6000
Practice Address - Fax:617-728-6040
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2010-08-12
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Provider Licenses
StateLicense IDTaxonomies
MA210314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0146901Medicaid
MA210314OtherTUFTS HEALTH PLAN
MAJ23894OtherBCBS MA
MAJ23894OtherBCBS MA
MAA32959Medicare ID - Type Unspecified