Zachary Ernest Medeiros

NPI 1790106540 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1790106540
Gender Male
Enumeration Date 12/20/2013
Last Updated 12/20/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
321 FORTUNE BLVD
MILFORD MA, 01757-1750, US
Phone (508) 478-0207
Fax (508) 634-6984
Business Location
321 FORTUNE BLVD
MILFORD MA, 01757-1750, US
Phone (508) 478-0207
Fax
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Zachary Ernest Medeiros NPI is 1790106540, taxonomy code is 222Q00000X Zachary Ernest Medeiros physically located at 321 Fortune Blvd, Milford MA, 01757-1750. NPI Number Zachary Ernest Medeiros has the Individual type.

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1790106540 NPI number is provided on an as is basis without warranty of any kind. 1790106540 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Ernest Medeiros are for informational purposes only.