Dullea, Joseph W

Dullea, Joseph W is an individual health care provider with primary practice located at 340 Pleasant St , Brockton MA 02301-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dullea, Joseph W can be contacted via phone (508) 586-8901.

Contact Information

Primary practice address
340 Pleasant St Brockton MA 02301-3236
Phone: (508) 586-8901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77507 Massachusetts

Profile Details

NPI number 1427042969
LBN Legal business name Dullea, Joseph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1427042969 NPPES
Massachusetts MEDICAID 3109810

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