Healthcare Provider Details

I. General information

NPI: 1093783417
Provider Name (Legal Business Name): NEW BEDFORD MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MILL RD
FAIRHAVEN MA
02719-5208
US

IV. Provider business mailing address

PO BOX 6002
NEW BEDFORD MA
02742-6002
US

V. Phone/Fax

Practice location:
  • Phone: 508-985-5020
  • Fax:
Mailing address:
  • Phone: 508-985-5020
  • Fax: 508-985-5038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CHENEY
Title or Position: PRESIDENT
Credential: MD
Phone: 508-996-8535