Organization
DR. JOSEPH V MEDEIROS, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH V MEDEIROS JR. OD (OWNER)
(508) 674-7464
Entity
Organization
Contact information
Practice address
260 N MAIN ST, FALL RIVER, MA 02720-2379
(508) 674-7464
Mailing address
260 N MAIN ST, FALL RIVER, MA 02720-2379
(508) 674-7464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3169
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393851
—
MA
Enumeration date
03/03/2008
Last updated
03/03/2008
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