Vasconcellos, Carol Ann

Vasconcellos, Carol Ann is an individual health care provider with primary practice located at 205 Chauncy St , Mansfield MA 02048. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Vasconcellos, Carol Ann can be contacted via phone (508) 339-2105.

Contact Information

Primary practice address
205 Chauncy St Mansfield MA 02048
Phone: (508) 339-2105
Fax: (508) 339-5837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47907 Massachusetts
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 47907 Massachusetts

Profile Details

NPI number 1053385393
LBN Legal business name Vasconcellos, Carol Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jun 29th, 2010 - about 14 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 1053385393 NPPES
Massachusetts MEDICAID 3094162

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