Individual
DR. MIGUEL B BRILLANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1565 NORTH MAIN STREET, SUITE 306, FALL RIVER, MA 02720-2972
(508) 973-9500
(508) 973-0351
Mailing address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059156A
—
MA
Enumeration date
06/01/2005
Last updated
04/20/2020
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