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Organization
PONDVILLE MEDICAL ASSOCIATES, LLC
Active
Organization
PONDVILLE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIAD MORTADA MD (PRESIDENT)
(508) 623-3700
Entity
Organization
Contact information
Practice address
31 PINE ST, NORFOLK, MA 02056-1642
(508) 623-3700
Mailing address
31 PINE ST, NORFOLK, MA 02056-1642
(508) 660-2241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
01/05/2023
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