Individual
JOSE M VINAGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 WORCESTER ST, INDIAN ORCHARD, MA 01151-1001
(413) 439-0609
(413) 439-0623
Mailing address
835 WORCESTER ST, INDIAN ORCHARD, MA 01151-1001
(413) 439-0609
(413) 439-0623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154017
—
MA
Enumeration date
08/04/2006
Last updated
07/03/2017
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