Organization
NEW BEDFORD INTERNAL MEDICINE & GERIATRICS, LLC
Active
Organization
NEW BEDFORD INTERNAL MEDICINE & GERIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMET F DIRICAN MD, MPH (OWNER)
(508) 984-5671
Entity
Organization
Contact information
Practice address
726 COUNTY ST, NEW BEDFORD, MA 02740-5405
(508) 984-5671
Mailing address
726 COUNTY ST, NEW BEDFORD, MA 02740-5405
(508) 984-5671
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042648
NEIGHBORHOOD HEALTH PLAN
MA
01
—
644651
TUFTS
MA
05
—
9739611
—
MA
01
—
DD9214
RAILROAD MEDICARE
—
01
—
M19074
BLUE SHIELD
MA
Enumeration date
01/04/2006
Last updated
06/04/2008
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