Organization Name: | PATRICIA L. ANDRADE, MD |
NPI Number: | 1679732580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA L ANDRADE (MD) |
Mailing Address: | 52 Brigham St Suite 3 New Bedford |
State: | MA US |
Postal Code: | 027402210 |
Phone Number: | 5089949616 |
Fax Number: | 5089949628 |
NPI Enumeration Date: | 06/05/2008 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 81461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |