Individual
DR. JOHN A. MAGNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-7643
(508) 973-7650
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2784
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
58901
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014187180005
—
PA
05
—
0932165
—
OH
Enumeration date
08/03/2005
Last updated
04/22/2020
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