Individual
BETHANY MACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
480 HAWTHORN ST, DARTMOUTH, MA 02747-3729
(774) 328-1590
Mailing address
13 JOHNSON ST, TAUNTON, MA 02780-3606
(774) 328-1590
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
3030
MA
2255A2300X
Athletic Trainer
Primary
3030
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2016
Last updated
03/21/2023
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