Organization
FALL RIVER INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE FRANCES PATRICK MD (PRESIDENT)
(508) 235-5420
Entity
Organization
Contact information
Practice address
1010 S MAIN ST, FALL RIVER, MA 02724-2820
(508) 235-5420
Mailing address
1010 S MAIN ST, FALL RIVER, MA 02724-2820
(508) 235-5420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57488
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57488
STATE LICENSE
MA
05
—
9759719
—
MA
Enumeration date
05/30/2007
Last updated
08/22/2020
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