Active NPIIndividual providerSole proprietor

Ms. Angela M Fonseca, LADCI CAS

Substance Abuse Rehabilitation Facility in Dorchester Center, Massachusetts

NPI Number1750668539
Practice location
62 Waldeck St, Dorchester Center, MA 02124-1329
Fax
—
Last updated
November 8, 2011

Angela Marie Fonseca is a Substance Abuse Rehabilitation Facility based in Dorchester Center, MA. Angela Marie Fonseca practices in Dorchester Center, MA and has the professional credentials of LADCI CAS. The NPI Number for Angela Marie Fonseca is 1750668539. The current practice location address for Angela Marie Fonseca is 62 Waldeck St, Dorchester Center, MA 02124-1329 and can be reached out via phone at 617-265-2636.

Provider Profile Details

NPI Number
1750668539
Provider Name
Angela Marie Fonseca
Credential
LADCI CAS
Provider Entity Type
Individual
Gender
Female
Address
62 Waldeck St, Dorchester Center, MA 02124-1329
Phone Number
617-265-2636
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Sole Proprietor
Yes
Provider Enumeration Date
November 8, 2011
Last Update Date
November 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Waldeck St
Dorchester Center, MA 02124-1329
Zip
02124-1329
Phone Number
617-265-2636
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
618 Twin Lakes Dr
Halifax, MA 02338-2229
City
Halifax
State
MA
Zip
02338-2229
Phone Number
781-294-4123

License Information

License State
MA
Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Substance Abuse Rehabilitation Facility providers near Dorchester Center, MA

View all Substance Abuse Rehabilitation Facility providers in Dorchester Center →

Frequently Asked Questions

What is the NPI number of Ms. Angela M Fonseca, LADCI CAS?

The NPI number of Ms. Angela M Fonseca, LADCI CAS is 1750668539. It was assigned on November 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Angela M Fonseca, LADCI CAS?

Ms. Angela M Fonseca, LADCI CAS is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).

Where does Ms. Angela M Fonseca, LADCI CAS practice?

The practice location is 62 Waldeck St, Dorchester Center, MA 02124-1329. The office can be reached at 617-265-2636 (phone).

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 1750668539 directly on the NPPES registry website.

Browse related providers