Healthcare Provider Details

I. General information

NPI: 1497780720
Provider Name (Legal Business Name): ALEXANDRINA DARABUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JC CORRIGAN MENTAL HEALTH CENTER 49 HILLSIDE STREET
FALL RIVER MA
02720
US

IV. Provider business mailing address

JC CORRIGAN MENTAL HEALTH CENTER 49 HILLSIDE STREET
FALL RIVER MA
02720
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-7260
  • Fax:
Mailing address:
  • Phone: 508-235-7260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number212468
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: