Doctor Name: | HENRIQUE FERREIRA VALE |
NPI Number: | 1497986673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 240701 |
Business Practice Address: | 21 Auburn St Apt 10 Framingham, MA - 017014845 |
Business Phone Number: | 7274820242 |
Business Fax Number: | |
Mailing Address: | 21 Auburn St Apt 10, FRAMINGHAM |
State: | MA |
Postal Code: | 017014845 |
Phone Number: | 7274820242 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2009 |
NPI Last Update Date: | 08/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 240701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |