Henry R Vaillancourt MD

NPI 1093770059 - Family Medicine - 207Q00000X

NPI Details
NPI 1093770059
Gender Male
Enumeration Date 04/20/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1030 PRESIDENT AVE
SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER MA, 02720-5923, US
Phone (508) 676-3411
Fax (508) 235-6656
Business Location
1030 PRESIDENT AVE
SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER MA, 02720-5923, US
Phone (508) 676-3411
Fax (508) 235-6656
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 42866
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According to our database, Dr. Henry R Vaillancourt MD NPI is 1093770059, taxonomy code is 207Q00000X and license number is 42866, license state is located at Massachusetts. Henry R Vaillancourt MD physically located at 1030 President Ave, Fall River MA, 02720-5923. NPI Number Henry R Vaillancourt MD has the Individual type.

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1093770059 NPI number is provided on an as is basis without warranty of any kind. 1093770059 is maintained by the National Plan & Provider Enumeration System. The contents of Henry R Vaillancourt MD are for informational purposes only.