Individual
DR. ISAIAS SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
72 MAPLE RD, MIDDLEBORO, MA 02346-1529
(508) 583-4500
(774) 826-3127
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009386
PR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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