Basic Information
| Provider Information | |||||||||
| NPI: | 1700845237 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHERLOCK | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 191 BEDFORD ST | ||||||||
| Address2: | |||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027203050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5082355445 | ||||||||
| FaxNumber: | 5082355594 | ||||||||
| Practice Location | |||||||||
| Address1: | 191 BEDFORD ST | ||||||||
| Address2: | |||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027203050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5082355445 | ||||||||
| FaxNumber: | 5082355594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2006 | ||||||||
| LastUpdateDate: | 04/20/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 228883 | MA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.