Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey M Soares, PA-C

Individual provider Physician Assistant · NPI 1366773202

Jeffrey M Soares, PA-C is a Physician Assistant in Fall River, Massachusetts. Qualified in 2009, 17 years ago. Practices with Surgical and Cosmetic Dermatology of Rhode Island LLC, a 3-clinician group. Licensed in Massachusetts.

Years since qualifying
17
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1030 President Ave Ste 307
Fall River, MA 02720-5928
Phone: (401) 751-7546
Fax: (401) 751-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3902 (MA)

Record details

NPI number1366773202
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2010
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Surgical And Cosmetic Dermatology Of Rhode Island Llc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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