Mcbrine & Vasconcellos Md Pc | |
205 Chauncey St Mansfield MA 02048 | |
(508) 339-2105 | |
(508) 339-5837 |
Full Name | Mcbrine & Vasconcellos Md Pc |
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Speciality | Internal Medicine - Hematology & Oncology |
Location | 205 Chauncey St, Mansfield, Massachusetts |
Authorized Official Name and Position | Carol Ann Vasconcellos (OWNER) |
Authorized Official Contact | 5083392105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcbrine & Vasconcellos Md Pc 205 Chauncy St Mansfield MA 02048-1202 Ph: (508) 339-2105 | Mcbrine & Vasconcellos Md Pc 205 Chauncey St Mansfield MA 02048 Ph: (508) 339-2105 |
NPI Number | 1801860200 |
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Provider Enumeration Date | 02/14/2006 |
Last Update Date | 06/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801860200 | NPI | - | NPPES |
9777954 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Primary |