Individual
JANE A MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 PAGE ST, ST LUKES EMERGENCY ASSOCIATES PC, NEW BEDFORD, MA 02740
(508) 961-5184
(508) 990-1411
Mailing address
15 HOWLAND RD, LAKEVILLE, MA 02347-2209
(774) 213-5125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51315
MA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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