Organization
SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN L FITZGERALD MS-CCC-SLP (PRESIDENT)
(508) 991-2332
Entity
Organization
Contact information
Practice address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Mailing address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737570
—
MA
Enumeration date
09/12/2008
Last updated
11/04/2008
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