Carol Ann Vasconcellos
Internist Hematology & Oncology
205 Chauncy St
Mansfield
, Massachusetts 02048
Carol Ann Vasconcellos
Internist Hematology & Oncology
205 Chauncy St
Mansfield
, Massachusetts 02048
(508) 339-5837
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About
Features
Specialties
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Carol Ann Vasconcellos
- 205 Chauncy St
- Mansfield, MA
- Zip : 02048
- Fax : (508) 339-5837
- Phone : (508) 339-2105
Second Address
- Carol Ann Vasconcellos
- 205 Chauncy St
- Mansfield, MA
- Zip : 02048
- Fax : (508) 339-5837
- Phone : (508) 339-2105
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 47907 | MA |
| N | 111NI0900X | Internist | 47907 | MA |
| Y | 207RH0003X | Hematology & Oncology | 47907 | MA |
National Provider Identifier
| NPI | 1053385393 |
|---|---|
| Provider Name | Carol Ann Vasconcellos |
| First Address | Mansfield, MA 02048 |
| Second Address | Mansfield, MA 02048 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 29/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3094162 | (05) | MA |
| F23549 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.