Organization Name: | NEW BEDFORD MEDICAL ASSOCIATES,PC |
NPI Number: | 1053696286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CURTIS J MELLO (PRESIDENT) |
Mailing Address: | 370 Faunce Corner Rd 2nd Floor N Dartmouth |
State: | MA US |
Postal Code: | 027471271 |
Phone Number: | 5089901408 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2011 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |