Individual
JAMES F PEDULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55682
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
55682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3028861
—
MA
Enumeration date
07/13/2006
Last updated
06/26/2017
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