Individual
MR. MICHAEL JOHN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
651 ORCHARD ST, SUITE 202A, NEW BEDFORD, MA 02744-1008
(774) 992-7060
(774) 992-7061
Mailing address
651 ORCHARD STREET, SUITE 202A, NEW BEDFORD, MA 02744
(774) 992-7060
(774) 992-7061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN65936
MA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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