Doctor Name: | ALICE M. COMERFORD |
NPI Number: | 1245240068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 234418 |
Business Practice Address: | 368 Faunce Corner Rd North Dartmouth, MA - 027471257 |
Business Phone Number: | 5089855014 |
Business Fax Number: | 5089855045 |
Mailing Address: | 200 Mill Rd, Suite 180 FAIRHAVEN |
State: | MA |
Postal Code: | 027195252 |
Phone Number: | 5089732000 |
Fax Number: | 5089732001 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 04/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 234418 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |