Provider Demographics
NPI:1740819150
Name:BIDO, PATRICIA NOELIA (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:NOELIA
Last Name:BIDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:NOELIA
Other - Last Name:LOPEZ ROSARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 ROCHE BROS WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1038
Mailing Address - Country:US
Mailing Address - Phone:508-948-8730
Mailing Address - Fax:508-894-0412
Practice Address - Street 1:31 ROCHE BROS WAY
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1038
Practice Address - Country:US
Practice Address - Phone:508-894-8730
Practice Address - Fax:508-894-0412
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA1016006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program