Bevilacqua, James M

Bevilacqua, James M is an individual health care provider with primary practice located at 680 Centre St Radiology Department, Brockton MA 02302-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bevilacqua, James M can be contacted via phone (508) 941-7150.

Contact Information

Primary practice address
680 Centre St Radiology Department Brockton MA 02302-3308
Phone: (508) 941-7150
Fax: (508) 941-6104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 044638 Massachusetts

Profile Details

NPI number 1730132135
LBN Legal business name Bevilacqua, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 2nd, 2012 - about 12 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 1730132135 NPPES
Massachusetts MEDICAID 2068249

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