Individual
MICHAEL A IADEVAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
479 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 973-1570
(508) 973-1545
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-1570
(508) 973-1545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287519
MA
Other
Enumeration date
03/28/2018
Last updated
10/18/2024
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