Individual
BRIAN L MEDEIROS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 PRESIDENT AVE, FALL RIVER, MA 02720-5923
(508) 679-6833
(508) 678-2200
Mailing address
1030 PRESIDENT AVE, FALL RIVER, MA 02720-5923
(508) 679-6833
(508) 678-2200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156851
—
MA
Enumeration date
12/01/2005
Last updated
07/09/2007
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