Search › Massachusetts › 253Z00000X

Glenn Machado

NPI 1598142960 · on the registry since 2015 · sole proprietor

Practice

Address
838 Rockdale Ave
New Bedford, MA 02740
Phone
(774) 425-3083
Fax
(508) 990-3085
Organisation at this address
South Coast Angels Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts