Organization
MARY GONCALO GROUP PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GONCALO RNCS (OWNER)
(774) 644-5629
Entity
Organization
Contact information
Practice address
101 SULLIVAN DR, FALL RIVER, MA 02721-6812
(774) 644-5629
(508) 678-8100
Mailing address
101 SULLIVAN DR, FALL RIVER, MA 02721-6812
(774) 644-5629
(508) 678-8100
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
MG043357
MA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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