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NPI Code Detail

MEDICARE: MADALENA MEDEIROS

MEDICARE: MADALENA MEDEIROS
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
1174400000XSpecialist

General Provider Information

NPI Number : 1710302716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALENA MEDEIROS
Provider Business Mailing Address
First Line : 4 S MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-5327
Country : US
Telephone Number : 508-208-8335
Fax Number :
Provider Business Practice Location Address
First Line : 4 S MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-5327
Country : US
Telephone Number : 508-208-8335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 02/27/2014

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Directions to “ MADALENA MEDEIROS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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