Organization
COASTAL ORTHOPAEDIC INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MABIE MD (PRESIDENT)
(508) 646-9525
Entity
Organization
Contact information
Practice address
235 HANOVER ST, FALL RIVER, MA 02720-5246
(508) 646-9525
(508) 679-7177
Mailing address
235 HANOVER ST, FALL RIVER, MA 02720-5246
(508) 646-9525
(508) 679-7177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9779053
—
MA
Enumeration date
07/15/2006
Last updated
11/13/2014
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