John Jefferys Bandola in Wakefield - Internal Medicine

John Jefferys Bandola - NPI 1023129491

John Jefferys Bandola is a Internal Medicine in Wakefield, Rhode Island. John Jefferys Bandola practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Jefferys Bandola is 1023129491. The last update date is 2010-03-18.

John Jefferys Bandola's current location address is 70 Kenyon Ave, Wakefield, Rhode Island. You can contact this provider via phone number 4017898543 and fax number 4017828766. The mailing address for John Jefferys Bandola is 70 Kenyon Ave, Wakefield, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name John Jefferys Bandola
Address 70 Kenyon Ave, Wakefield, Rhode Island
Phone Number 4017898543
Fax Number 4017828766
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1023129491
Provider Enumeration Date 2006-08-31
Last Updated Date 2010-03-18

Provider Mailing Address Detail

Address 70 Kenyon Ave
City Wakefield
State Rhode Island (RI)
Post Code 28794239
Phone Number 4017898543
Fax Number 4017828766

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No RI5619
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
1D9000094 RI --
196 RI RHODE ISLAND BLUE CHIP
94 RI RHODE ISLAND BLUE CROSS AND BL

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FAQs about John Jefferys Bandola

What is the unique identification code assigned to John Jefferys Bandola by the Centers for Medicare & Medicaid Services?

The John Jefferys Bandola has been issued the NPI (National Provider Identifier) 1023129491. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John Jefferys Bandola?

The John Jefferys Bandola is physically situated at 70 Kenyon Ave, in the city of Wakefield, state of RI, with the postal code 28794239.

What is the John Jefferys Bandola's specialty and taxonomy code?

The John Jefferys Bandola's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

When did John Jefferys Bandola receive its 1023129491 assignment?

The John Jefferys Bandola was assigned its 1023129491 on 2006-08-31, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding John Jefferys Bandola, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Jefferys Bandola, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-18.

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