Healthcare Provider Details

I. General information

NPI: 1528077039
Provider Name (Legal Business Name): BARBARA L SOARES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 HIGHLAND AVE
FALL RIVER MA
02720-3704
US

IV. Provider business mailing address

484 HIGHLAND AVE
FALL RIVER MA
02720-3744
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-2555
  • Fax: 508-672-5442
Mailing address:
  • Phone: 508-672-3700
  • Fax: 508-672-5442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD11051
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number154146
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: