Provider Demographics
NPI:1366451338
Name:INGERSOLL, FRANCIS W III (DO)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:W
Last Name:INGERSOLL
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:370 FAUNCE CORNER ROAD
Mailing Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES INC
Mailing Address - City:NO DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747
Mailing Address - Country:US
Mailing Address - Phone:508-985-2000
Mailing Address - Fax:508-985-2001
Practice Address - Street 1:101 PAGE STREET
Practice Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES INC
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-961-5919
Practice Address - Fax:508-961-5916
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2010-03-08
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Provider Licenses
StateLicense IDTaxonomies
MA160595207R00000X
RIDO00506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine