Unknown Individual – Internal Medicine Physician, NPI 1003803586
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, Mill Road, Fairhaven, Bristol County, Massachusetts, 02719, United States
STE 180
FAIRHAVEN, MA 027195252
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
300, Hanover Street, Fall River, Bristol County, Massachusetts, 02720, United States
SUITE 3A
FALL RIVER, MA 027205444
Phone: (508) 679-7762
Fax: (508) 679-7790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02719)
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