MEDICARE: JEFFREY M SOARES PA-C

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	363A00000X	Physician Assistant	PA3902	MA

General Provider Information

NPI Number	:	1366773202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY M SOARES PA-C

Provider Business Mailing Address
First Line	:	1030 PRESIDENT AVE STE 307
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-5928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 PRESIDENT AVE STE 307
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-5928
Country	:	US
Telephone Number	:	401-751-7546
Fax Number	:	401-751-6888

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2010
Last Update Date	:	12/01/2025

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Directions to “ JEFFREY M SOARES PA-C” Practice Location

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