Organization
GIGA MED I LLC
Active
Other names
GIGA MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEOPHILUS VINCENT, NII MOI ADDO M.D (PARTNER)
(508) 985-1955
Entity
Organization
Contact information
Practice address
606 TARKILN HILL RD, GIGA MEDICAL, NEW BEDFORD, MA 02745-5556
(508) 985-1955
(508) 985-1977
Mailing address
606 TARKILN HILL RD, GIGA MEDICAL, NEW BEDFORD, MA 02745-5556
(508) 985-1955
(508) 985-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216068/ 223212
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9760300
—
MA
Enumeration date
09/27/2006
Last updated
08/22/2020
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