Provider Demographics
NPI:1376222125
Name:MACHADO, SCOTT (MPH)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:MACHADO
Suffix:
Gender:M
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 UNION ST STE 204
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6376
Mailing Address - Country:US
Mailing Address - Phone:508-996-9622
Mailing Address - Fax:
Practice Address - Street 1:128 UNION ST STE 204
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6376
Practice Address - Country:US
Practice Address - Phone:508-996-9622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator