Individual
DR. DINETH MARLON BANDARAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(781) 879-9626
Mailing address
330 BROOKLINE AVE, HOSPITAL MEDICINE WEST SPAN 201, BOSTON, MA 02215-5491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024-01347
NC
208M00000X
Hospitalist Physician
2024-01347
NC
208M00000X
Hospitalist Physician
Primary
291608
MA
Other
Enumeration date
03/24/2019
Last updated
09/22/2025
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