Provider Demographics
NPI:1073809745
Name:MABARDY, ALLAN S (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:S
Last Name:MABARDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-1020
Mailing Address - Fax:508-973-1025
Practice Address - Street 1:300B FAUNCE CORNER RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1257
Practice Address - Country:US
Practice Address - Phone:508-973-1020
Practice Address - Fax:508-973-1025
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2020-04-22
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Provider Licenses
StateLicense IDTaxonomies
MA248736208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery