Provider Demographics
NPI:1639130651
Name:TWEEDIE, PATRICIA A (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:TWEEDIE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 PLEASANT ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3005
Mailing Address - Country:US
Mailing Address - Phone:508-674-7779
Mailing Address - Fax:
Practice Address - Street 1:289 PLEASANT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-3005
Practice Address - Country:US
Practice Address - Phone:508-674-7779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA29247-6OtherRHODE ISLAND BLUE CROSS BLUE SHIELD
MA3694205OtherAETNA, US HEALTHCARE
MA712059OtherTUFTS
MAJ40132OtherBC/BS OF MA
MA408537OtherBLUE CHIP OF R.I.
MA6601003OtherUNITED HEALTHCARE OF N.E.
MA9735721Medicaid
MA2019540Medicaid
MA964850-01OtherNETWORK HEALTH
MA9842957OtherCIGNA
MAAA77017OtherPILGRIM HEALTH CARE
MA1790880490OtherBOSTON MEDICAL CENTER
MAAA77017OtherPILGRIM HEALTH CARE
MA2019540Medicaid