Individual
DEANA MARIE THEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 235-5285
(508) 678-6905
Mailing address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 235-5285
(508) 678-6905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2003-00716
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
235054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891347G
—
NC
Enumeration date
10/18/2006
Last updated
08/11/2009
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