Individual
GLORIANE AFONSO-FEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021180
BMCH
—
01
—
0034668
NEIGHBORHOOD
—
05
—
0133515
—
MA
01
—
0240214
CIGNA
—
01
—
205012
TUFTS HEALTH PLAN
MA
01
—
2550884
AETNA INSURANCE
—
01
—
BCBS OF MASS
J23482
MA
01
—
TAX ID#
04-3436165
—
Enumeration date
11/17/2005
Last updated
04/24/2023
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