John V Gandolfo in Peabody - Internal Medicine

John V Gandolfo - NPI 1548332992

John V Gandolfo is a Internal Medicine in Peabody, Massachusetts. John V Gandolfo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John V Gandolfo is 1548332992. The last update date is 2007-07-08.

John V Gandolfo's current location address is One Roosevelt Avenue Suite 204, Peabody, Massachusetts. You can contact this provider via phone number 9785367778 and fax number 9785362998. The mailing address for John V Gandolfo is One Roosevelt Avenue Suite 204, Peabody, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John V Gandolfo
Address One Roosevelt Avenue Suite 204, Peabody, Massachusetts
Phone Number 9785367778
Fax Number 9785362998
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1548332992
Provider Enumeration Date 2006-11-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address One Roosevelt Avenue Suite 204
City Peabody
State Massachusetts (MA)
Post Code 1960
Phone Number 9785367778
Fax Number 9785362998

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 48148
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J02927 MA BLUE SHIELD OF MA
61925 MA HAVARD PILGRIM HEALTHCARE
48148 MA TUFTS HEALTH PLANS
6180884 MA --

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FAQs about John V Gandolfo

What is the unique 10-digit identification code issued to John V Gandolfo by the Centers for Medicare & Medicaid Services?

The John V Gandolfo has been assigned the NPI (National Provider Identifier) 1548332992 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the John V Gandolfo located?

The John V Gandolfo is located at One Roosevelt Avenue Suite 204, Peabody, MA 1960.

What is John V Gandolfo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John V Gandolfo is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the John V Gandolfo receive its 1548332992 assignment from the Centers for Medicare & Medicaid Services?

The John V Gandolfo was assigned its 1548332992 by the Centers for Medicare & Medicaid Services on 2006-11-14.

When was the information pertaining to John V Gandolfo most recently updated or revised?

The details related to John V Gandolfo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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