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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