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BREAST CENTER OF SOUTH COAST, LLC
NPI 1629177597
General Practice in New Bedford, MA

Active since September 21, 2006
52 BRIGHAM ST, SUITE 3, NEW BEDFORD, MA 02740(508) 990-2220(508) 994-9628 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breast Center Of South Coast, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAST CENTER OF SOUTH COAST, LLC (NPI 1629177597) is a healthcare organization registered as a general practice in New Bedford, Massachusetts and active in the NPI registry since September 2006. The organization lists Patricia Andrade, President, as its authorized official.

NPPES Registry Identity

NPI1629177597
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBREAST CENTER OF SOUTH COAST, LLC
Location Address52 BRIGHAM ST, SUITE 3New Bedford, MA 02740-2210
Mailing Address690 Canton St, Suite 325Westwood, MA 02090-2321 · (781) 407-7713 · Fax (781) 407-0998
Phone(508) 990-2220
Fax(508) 994-9628
Organization SubpartNo
Authorized OfficialPatricia AndradePresident · (508) 990-2220
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 11, 2007
✔ NPI 1629177597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
52 BRIGHAM ST, New Bedford, MA 02740
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Other Identifiers 2

Medicare PINM21669MA
Medicare UPING10960MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK SAVINO LICSW
Social Worker (Clinical)
52 BRIGHAM ST, SUITE 5
NEW BEDFORD, MA 02740
Bristol County (508) 993-8332
MS. SHELLI ANN ROCHE M.A., CCC/SLP
Speech-Language Pathologist
52 BRIGHAM ST, SUITE 4
NEW BEDFORD, MA 02740
Bristol County (508) 991-2332
KENNETH EVERETT JEFFERY
Social Worker (Clinical)
52 BRIGHAM ST, SUITE 5
NEW BEDFORD, MA 02740
Bristol County (508) 993-8332
MRS. JENNIFER THAYER OTRL
Occupational Therapist
52 BRIGHAM ST, SUITE 6
NEW BEDFORD, MA 02740
Bristol County (508) 999-4345
MRS. SANDRA J DONNELLY SLPCCC
Speech-Language Pathologist
52 BRIGHAM ST, SUITE 4
NEW BEDFORD, MA 02740
Bristol County (508) 991-2332
MS. ELLEN M GRANDPRE OTR L
Occupational Therapist
52 BRIGHAM ST, SUITE 6
NEW BESFORD, MA 02740
Bristol County (508) 999-4345
DR. WAYNE GERARD TESSIER PH.D.
Psychologist
52 BRIGHAM ST, SUITE 5
NEW BEDFORD, MA 02740
Bristol County (508) 993-8332
MRS. ANN LESLIE JOYAL OTRL
Occupational Therapist
52 BRIGHAM ST, SUITE 6
NEW BEDFORD, MA 02740
Bristol County (508) 999-4345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breast Center Of South Coast, LLC's NPI number?

The NPI number for Breast Center Of South Coast, LLC is 1629177597. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Breast Center Of South Coast, LLC located?

Breast Center Of South Coast, LLC is located at 52 Brigham St Suite 3, New Bedford, MA 02740. The listed phone number is (508) 990-2220.

What is Breast Center Of South Coast, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Breast Center Of South Coast, LLC was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.