MEDICARE: DR. JOSE C TEIXEIRA-DA-SILVA JR. MD

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	207RN0300X	Nephrology Physician	81850	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427108786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE C TEIXEIRA-DA-SILVA JR. MD

Provider Business Mailing Address
First Line	:	47 OBERY ST STE 1A
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2230
Country	:	US
Telephone Number	:	508-747-4883
Fax Number	:	508-747-6661

Provider Business Practice Location Address
First Line	:	47 OBERY ST STE 1A
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2230
Country	:	US
Telephone Number	:	508-747-4883
Fax Number	:	87-476-6615

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	06/21/2024

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