Provider Demographics
NPI:1053696286
Name:NEW BEDFORD MEDICAL ASSOCIATES,PC
Entity type:Organization
Organization Name:NEW BEDFORD MEDICAL ASSOCIATES,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-999-5666
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-985-5020
Mailing Address - Fax:508-985-5036
Practice Address - Street 1:370 FAUNCE CORNER RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1271
Practice Address - Country:US
Practice Address - Phone:508-990-1408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEDFORD MEDICAL ASSOCIATES,PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic