Individual
MR. ADAM MATTHEW GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 SAMUEL BARNET BLVD, UNIT 2, NEW BEDFORD, MA 02745-1214
(508) 995-3251
Mailing address
116 CORY ST, FALL RIVER, MA 02720-2812
(774) 644-1919
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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