Organization
TRUESDALE MEDICAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EIL (PRESIDENT)
(508) 676-3411
Entity
Organization
Contact information
Practice address
1030 PRESIDENT AVE, FALL RIVER, MA 02720-5923
(508) 676-3411
Mailing address
1030 PRESIDENT AVE, FALL RIVER, MA 02720-5923
(508) 676-3411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1715
MA
363LA2200X
Adult Health Nurse Practitioner
14286
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TM57357
—
RI
Enumeration date
10/27/2006
Last updated
11/28/2007
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