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Individual

BRIAN R BIRCHENOUGH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
363 HIGHLAND AVE, RADIOLOGY DEPARTMENT, FALL RIVER, MA 02720-3703
(508) 677-9729
(508) 679-4728
Mailing address
484 HIGHLAND AVE, FALL RIVER, MA 02720-3704
(508) 677-9729
(508) 679-4728

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
157526
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3200833
MA
05
7006546
RI
Enumeration date
05/31/2006
Last updated
07/08/2007
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