Individual
MR. THOMAS RANDAL VIVEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC, NP-C
Contact information
Practice address
651 ORCHARD ST, NEW BEDFORD, MA 02744-1008
(774) 202-7049
Mailing address
149 ASHLEY ST, FALL RIVER, MA 02720-1511
(508) 837-1493
(508) 567-5275
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN233221
MA
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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