Individual
JASON F MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5425
(508) 973-7143
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN256247
MA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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