Individual
JORGE M ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 MIDDLE ST, SUITE 3400, FALL RIVER, MA 02721-1778
(508) 235-5400
(508) 235-5477
Mailing address
851 MIDDLE ST, SUITE 3400, FALL RIVER, MA 02721-1778
(508) 235-5400
(508) 235-5477
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
80436
MA
207R00000X
Internal Medicine Physician
Primary
80436
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154955
—
MA
Enumeration date
03/31/2006
Last updated
10/04/2016
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