Individual
CAROL ANN VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 CHAUNCY ST, MANSFIELD, MA 02048
(508) 339-2105
(508) 339-5837
Mailing address
205 CHAUNCY ST, MANSFIELD, MA 02048
(508) 339-2105
(508) 339-5837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47907
MA
207RH0003X
Hematology & Oncology Physician
Primary
47907
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094162
—
MA
Enumeration date
02/14/2006
Last updated
06/29/2010
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