Individual
MARIA T DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
72 WASHINGTON ST, SUITE 2100, TAUNTON, MA 02780-2491
(508) 823-2762
(508) 828-6886
Mailing address
PO BOX 847348, BOSTON, MA 02284-7348
(508) 823-2762
(508) 828-6886
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
219962
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090881
—
MA
Enumeration date
03/10/2006
Last updated
03/08/2016
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