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
Phone: (508) 999-2981
Fax: (508) 910-3395
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528036134 | NPPES |
Massachusetts | MEDICAID | 2022079 |
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