Andrade, Patricia L

Andrade, Patricia L is an individual health care provider with primary practice located at 208 Mill Rd 2Nd Floor, Fairhaven MA 02719-5208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Andrade, Patricia L can be contacted via phone (508) 973-2204.

Contact Information

Primary practice address
208 Mill Rd 2Nd Floor Fairhaven MA 02719-5208
Fax: (508) 973-2640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 81461 Massachusetts

Profile Details

NPI number 1417956426
LBN Legal business name Andrade, Patricia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417956426 NPPES
Massachusetts MEDICAID 110055994A
Massachusetts MEDICAID NA94913
Massachusetts MEDICAID 110097639A

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