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Individual
BETHANY MACEDO
Active
Individual
BETHANY MACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
3030
MA
2255A2300X
Athletic Trainer
Primary
3030
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2016
Last updated
03/21/2023
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