| Mary Goncalo Group Practice | |
|
101 Sullivan Dr Fall River MA 02721-6812 | |
| (774) 644-5629 | |
| (508) 678-8100 |
| Full Name | Mary Goncalo Group Practice |
|---|---|
| Speciality | Psychologist - Health |
| Location | 101 Sullivan Dr, Fall River, Massachusetts |
| Authorized Official Name and Position | Mary Goncalo (OWNER) |
| Authorized Official Contact | 7746445629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Goncalo Group Practice 101 Sullivan Dr Fall River MA 02721-6812 Ph: (774) 644-5629 | Mary Goncalo Group Practice 101 Sullivan Dr Fall River MA 02721-6812 Ph: (774) 644-5629 |
| NPI Number | 1356890164 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356890164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | MG043357 (Massachusetts) | Primary |
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