Individual
ATHENA XIFARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 FIELD ST, NEW BEDFORD, MA 02740-2134
(508) 910-3371
(508) 910-3363
Mailing address
225 FIELD ST, NEW BEDFORD, MA 02740-2134
(508) 910-3371
(508) 910-3363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
223793
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223793
MA LIC #
MA
Enumeration date
12/01/2005
Last updated
02/02/2012
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