Andre Iray Victorian

Case Manager/Care Coordinator · Brockton, MA

Individual Active NPI

NPI number 1083451439

Practice location

300 Battles St
Brockton, MA 02301-2231
Phone
(508) 587-2579

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NPI record

NPI
1083451439
Entity type
Individual (Type 1)
Enumeration date
July 12, 2024
Last updated
July 12, 2024
Certified
July 12, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Andre Victorian

Andre Iray Victorian is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 300 Battles St, Brockton, MA 02301-2231. The NPI number 1083451439 was assigned on July 12, 2024 and the record was last updated on July 12, 2024.

Frequently asked questions

What is the NPI number of Andre Iray Victorian?

The NPI number is 1083451439.

What is the phone number of Andre Victorian?

The phone number listed for the practice location is (508) 587-2579.

Where is Andre Victorian located?

300 Battles St, Brockton, MA 02301-2231.

What is the taxonomy code for Andre Victorian?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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