Individual
MICHELLE L DYBALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
109 FAIRHAVEN RD, SOUTHCOAST PRIMARY CARE INC, MATTAPOISETT, MA 02739-1459
(508) 758-3781
(508) 758-4455
Mailing address
370 FAUNCE CORNER RD, SOUTHCOAST PRIMARY CARE INC, NORTH DARTMOUTH, MA 02747-1271
(508) 985-2000
(508) 985-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1579
MA
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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