Medeiros, Keith

Medeiros, Keith is an individual health care provider with primary practice located at 157 Union St , Marlborough MA 01752-1228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Medeiros, Keith can be contacted via phone (508) 624-9687.

Contact Information

Primary practice address
157 Union St Marlborough MA 01752-1228
Phone: (508) 624-9687
Fax: (508) 624-9689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 240000 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 240000 Massachusetts

Profile Details

NPI number 1699828566
LBN Legal business name Medeiros, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Mar 16th, 2022 - about 3 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 1699828566 NPPES
Massachusetts MEDICAID 110096402A

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