Fazendeiro, Roy M

Fazendeiro, Roy M is an individual health care provider with primary practice located at 225 Field St , New Bedford MA 02740-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fazendeiro, Roy M can be contacted via phone (508) 999-2981.

Contact Information

Primary practice address
225 Field St New Bedford MA 02740-2134
Fax: (508) 910-3395
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34560 Massachusetts

Profile Details

NPI number 1528036134
LBN Legal business name Fazendeiro, Roy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528036134 NPPES
Massachusetts MEDICAID 2022079

Popular Providers