Individual
JOHN BORDIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 WALNUT ST, SUITE 380, WELLESLEY, MA 02481-2118
(781) 239-9900
(781) 239-9953
Mailing address
65 WALNUT ST, SUITE 380, WELLESLEY, MA 02481-2118
(781) 239-9900
(781) 239-9953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406799
UNITED HEALTH CARE
MA
01
—
5424600
AETNA
MA
01
—
692543
HARVARD PILGRIM
MA
01
—
792774
TUFTS HEALTH PLAN
MA
01
—
7998387
CIGNA
MA
01
—
J16668
BCBS
MA
01
—
M21670
MEDICARE PROVIDER GROUP
MA
Enumeration date
08/29/2006
Last updated
02/22/2013
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