MEDICARE: NEW BEDFORD MEDICAL ASSOCIATES,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1053696286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEDFORD MEDICAL ASSOCIATES,PC

Provider Business Mailing Address
First Line	:	200 MILL RD
Second Line	:	SUITE 300
City	:	FAIRHAVEN
State	:	MA
Zip	:	02719-5252
Country	:	US
Telephone Number	:	508-985-5020
Fax Number	:	508-985-5036

Provider Business Practice Location Address
First Line	:	370 FAUNCE CORNER RD
Second Line	:	2ND FLOOR
City	:	N DARTMOUTH
State	:	MA
Zip	:	02747-1271
Country	:	US
Telephone Number	:	508-990-1408
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CURTIS J MELLO
Credential	:	M.D.
Telephone Number	:	508-999-5666

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	01/19/2012

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