MEDICARE: DAVID F GOUVEIA 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	207X00000X	Orthopaedic Surgery Physician	25638	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	:	1801860614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID F GOUVEIA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2460
Second Line	:
City	:	TEATICKET
State	:	MA
Zip	:	02536-2460
Country	:	US
Telephone Number	:	508-548-3699
Fax Number	:	508-548-6036

Provider Business Practice Location Address
First Line	:	100 TER HEUN DR
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2503
Country	:	US
Telephone Number	:	508-548-3699
Fax Number	:

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	07/08/2007

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