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Individual

DR. RONALD G BARDAWIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
275 SANDWICH ST, JORDAN HOSPITAL, PLYMOUTH, MA 02360-2183
(508) 830-2466
Mailing address
275 SANDWICH ST, BIDMC - PLYMOUTH, PLYMOUTH, MA 02360-2183
(508) 830-2466

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
58011
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3049639
MA
Enumeration date
03/17/2006
Last updated
05/25/2016
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