Medeiros, Mary A
Medeiros, Mary A is an individual health care provider with primary practice located at 835 W Central St Ste 4 , Franklin MA 02038-3189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Medeiros, Mary A can be contacted via phone (774) 318-4205.Contact Information
Primary practice address
835 W Central St Ste 4
Franklin MA 02038-3189
Phone: (774) 318-4205
Fax: (774) 512-0093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 232763 | Massachusetts |
Profile Details
| NPI number | 1346396561 |
|---|---|
| LBN Legal business name | Medeiros, Mary A |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Feb 17th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346396561 | NPPES |
| Massachusetts | MEDICAID | 2144387 |
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