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Individual

DR. PAUL GREGORY VIVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
535 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
535 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 996-3991

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57663
MA
207RC0000X
Cardiovascular Disease Physician
57763
MA
207RI0011X
Interventional Cardiology Physician
Primary
57663
MA

Other

Enumeration date
11/15/2005
Last updated
02/01/2018
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