Unknown Individual – Internal Medicine Physician, NPI 1184693434
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Mill Road, Fairhaven, Bristol County, Massachusetts, 02719, United States
FAIRHAVEN, MA 027195252
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
672, Aquidneck Avenue, Paradise Mobile Home Park, Middletown, Newport County, Rhode Island, 02842, United States
MIDDLETOWN, RI 028425795
Phone: (401) 847-0519
Fax: (401) 846-0283
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
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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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