MEDICARE: DR. GERMAN VELASCO M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	243055	MA

General Provider Information

NPI Number	:	1447441472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERMAN VELASCO M.D.

Provider Business Mailing Address
First Line	:	20 CLARKE RD
Second Line	:
City	:	BARRINGTON
State	:	RI
Zip	:	02806-4004
Country	:	US
Telephone Number	:	617-755-3246
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 COMMERCE BLVD
Second Line	:
City	:	MIDDLEBORO
State	:	MA
Zip	:	02346-1030
Country	:	US
Telephone Number	:	508-589-3775
Fax Number	:

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

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	12/23/2024

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