Individual
MR. CHAD A GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
275 MARTINE ST, SUITE 101, FALL RIVER, MA 02723-1516
(508) 324-9300
(508) 324-9309
Mailing address
20 NEW GARDNER NECK RD, SWANSEA, MA 02777-2525
(508) 676-6071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16188
MA
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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