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NPI Code Detail

MEDICARE: KERRY M GIRARD M.D.

MEDICARE: KERRY M GIRARD 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
1207R00000XInternal Medicine Physician154304MA

Other Identifiers

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

General Provider Information

NPI Number : 1871541045
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY M GIRARD M.D.
Provider Business Mailing Address
First Line : 545 BEDFORD ST
Second Line :
City : BRIDGEWATER
State : MA
Zip : 02324-3117
Country : US
Telephone Number : 508-697-3677
Fax Number : 508-894-0412
Provider Business Practice Location Address
First Line : 545 BEDFORD ST
Second Line :
City : BRIDGEWATER
State : MA
Zip : 02324-3117
Country : US
Telephone Number : 508-697-3677
Fax Number : 508-894-0412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/12/2024

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Directions to “ KERRY M GIRARD M.D.” Practice Location

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