Individual
ANDREW J PALERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 PLEASANT ST, FALL RIVER, MA 02723-1000
(774) 301-8428
Mailing address
933 PLEASANT ST STE 102-103, FALL RIVER, MA 02723-1000
(508) 673-3044
(508) 673-4396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060378
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1858427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060378
APPLICATION PENDING
NY
Enumeration date
06/24/2019
Last updated
07/25/2019
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