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Individual

KOLLEEN M DEANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-7018
(508) 973-7147
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01828
RI
363A00000X
Physician Assistant
Primary
PA278
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3139163
NH
Enumeration date
06/20/2007
Last updated
09/26/2025
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