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Individual

DR. MARY CONSOLATA BANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 SOUTH ST, HARRINGTON PHYSICIAN SERVICES, INC., SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 909-7735
Mailing address
PO BOX 40, HARRINGTON PHYSICIAN SERVICES, INC., SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75967
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
J13190
MA
Enumeration date
05/08/2006
Last updated
03/17/2018
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