Thomas Randal Viveiros ANP-BC, NP-C

NPI 1245589506 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1245589506
Gender Male
Enumeration Date 09/02/2012
Last Updated 09/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
651 ORCHARD ST
NEW BEDFORD MA, 02744-1008, US
Phone (774) 202-7049
Fax
Business Location
149 ASHLEY ST
FALL RIVER MA, 02720-1511, US
Phone (508) 837-1493
Fax (508) 567-5275
Toxanomy
Taxonomy Code 363LA2200X
License State Massachusetts
License Number RN233221
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According to our database, Mr. Thomas Randal Viveiros ANP-BC, NP-C NPI is 1245589506, taxonomy code is 363LA2200X and license number is RN233221, license state is located at Massachusetts. Thomas Randal Viveiros ANP-BC, NP-C physically located at 651 Orchard St, New Bedford MA, 02744-1008. NPI Number Thomas Randal Viveiros ANP-BC, NP-C has the Individual type.

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1245589506 NPI number is provided on an as is basis without warranty of any kind. 1245589506 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Randal Viveiros ANP-BC, NP-C are for informational purposes only.