person
Mary Goncalo, RN,MS,CS
Psychiatric/Mental Health Registered Nurse in Fall River, Massachusetts
NPI 1316032774

Mary Goncalo is a Psychiatric/Mental Health Registered Nurse based in Somerset, MA and is specialized in Psychiatric/Mental Health. Mary Goncalo practices in Fall River, MA and has the professional credentials of RN,MS,CS. The NPI Number for Mary Goncalo is 1316032774 and holds a License No. 197997 (Massachusetts).

The current practice location address for Mary Goncalo is 101 Sullivan Dr, Fall River, MA and can be reached out via phone at 774-644-5629 and via fax at 508-678-8100. You can also correspond with Mary Goncalo through the mailing address at P O BOX 365, SOMERSET, MA - 02726-0365 (mailing address contact number: 774-644-5629).

Location: 101 Sullivan Dr, Fall River, MA, 02726-0365
person
Provider Profile Details
NPI Number
1316032774
Provider Name
Mary Goncalo
Credential
RN,MS,CS
Provider Entity Type
Individual
Gender
Female
Address
101 Sullivan Dr, Fall River, MA, 02726-0365
Phone Number
774-644-5629
Fax Number
508-678-8100
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410198-001 01 RI BLUE CHIP
PN0790 01 MA BLUE CROSS BLUE CHIELD
000000024517 01 BOSTON MEDICAL HEALTHNET
103300 01 NHP
11089087A 05 MA
60054 01 AETNA
1894480 05 MA
214375 01 RI BC BS OF RI
585968000 01 MAGELLAN
institution
Provider Business Practice Location Address Details
Address
101 Sullivan Dr
City
State
Zip
02721-6812
Phone Number
774-644-5629
Fax Number
508-678-8100
person
Provider Business Mailing Address Details
Address
P O Box 365
City
State
Zip
02726-0365
Phone Number
774-644-5629
Fax Number
508-678-8100
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
197997 (Massachusetts)
Definition
Definition to come...
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