Healthcare Provider Details

I. General information

NPI: 1447299433
Provider Name (Legal Business Name): ANDREW J DADAGIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 FIELD ST
NEW BEDFORD MA
02740-2134
US

IV. Provider business mailing address

225 FIELD ST
NEW BEDFORD MA
02740-2134
US

V. Phone/Fax

Practice location:
  • Phone: 508-991-2500
  • Fax:
Mailing address:
  • Phone: 508-991-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number30374
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: