# MCBRINE & VASCONCELLOS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801860200
- **Authorized official:** CAROL ANN VASCONCELLOS MD (OWNER)
- **Authorized official phone:** (508) 339-2105

## Contact information

- **Practice address:** 205 CHAUNCEY ST, MANSFIELD, MA 02048
- **Practice address phone:** (508) 339-2105
- **Practice address fax:** (508) 339-5837
- **Mailing address:** 205 CHAUNCY ST, MANSFIELD, MA 02048-1202
- **Mailing address phone:** (508) 339-2105
- **Mailing address fax:** (508) 339-5837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 06/29/2010