Avalon Medical Spa
Clinic/Center, Health Services in New Bedford, Massachusetts
1366724825- Practice location
- 651 Orchard St Ste 202, New Bedford, MA 02744-1052
- Phone
- 774-202-7049
- Fax
- 774-202-2839
- Last updated
- September 12, 2011
Avalon Medical Spa is a healthcare organization based in New Bedford, MA. Avalon Medical Spa practices in New Bedford, MA. The NPI Number for Avalon Medical Spa is 1366724825 and holds a License No. 1138975 (MA). The current practice location address for Avalon Medical Spa is 651 Orchard St Ste 202, New Bedford, MA 02744-1052 and can be reached out via phone at 774-202-7049 and via fax at 774-202-2839.
Provider Profile Details
- NPI Number
- 1366724825
- Provider Name
- Avalon Medical Spa
- Provider Entity Type
- Organization
- Address
- 651 Orchard St Ste 202, New Bedford, MA 02744-1052
- Phone Number
- 774-202-7049
- Fax Number
- 774-202-2839
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Mr. William L Thornson, PA-C · Owner · 774-202-7049
- Provider Enumeration Date
- September 12, 2011
- Last Update Date
- September 12, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 651 Orchard St Ste 202
New Bedford, MA 02744-1052 - City
- New Bedford
- State
- Massachusetts
- Zip
- 02744-1052
- Phone Number
- 774-202-7049
- Fax Number
- 774-202-2839
Provider Business Mailing Address Details
- Address
- 651 Orchard St Ste 202
New Bedford, MA 02744-1052 - City
- New Bedford
- State
- MA
- Zip
- 02744-1052
- Phone Number
- 774-202-7049
- Fax Number
- 774-202-2839
License Information
- License Number
- 1138975
- License State
- MA
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Avalon Medical Spa?
The NPI number of Avalon Medical Spa is 1366724825. It was assigned on September 12, 2011 and is currently active in the NPPES registry.
What is the specialty of Avalon Medical Spa?
Avalon Medical Spa is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in MA under license number 1138975.
Where does Avalon Medical Spa practice?
The practice location is 651 Orchard St Ste 202, New Bedford, MA 02744-1052. The office can be reached at 774-202-7049 (phone) or 774-202-2839 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366724825 directly on the NPPES registry website.