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Organization

JOHN JEFFERYS BANDOLA, M.D.

Active
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Organization

JOHN JEFFERYS BANDOLA, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN JEFFERYS BANDOLA M.D. (OWNER)
(401) 789-8543
Entity
Organization

Contact information

Practice address
70 KENYON AVE, SUITE 326, WAKEFIELD, RI 02879-4239
(401) 789-8543
(401) 782-8766
Mailing address
70 KENYON AVE, SUITE 326, WAKEFIELD, RI 02879-4239
(401) 789-8543
(401) 782-8766

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5619
RI

Other

Enumeration date
09/27/2007
Last updated
03/23/2010
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