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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY PAUL RODERIQUES

Active Sole Proprietor

TIMOTHY PAUL RODERIQUES is a Private Vehicle healthcare provider located in NEW BEDFORD, Massachusetts. NPI 1912479007 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · NEW BEDFORD, MA

Registration Details

NPI Number
1912479007
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2018 (7.6410178186758 yrs)
Last Updated
Dec 30, 2018
License
S79139087 (MA)
Sole Proprietor
Yes

Practice Information

Address
48 OCEAN ST
NEW BEDFORD, MA, 027403555
Browse MA providers · Browse ZIP 02740
Phone
5085090631
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.