Individual
DR. JOHN N PANDISCIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 W MAIN ST, HOPKINTON, MA 01748-2175
(508) 435-6903
(508) 435-2311
Mailing address
169 W MAIN ST, HOPKINTON, MA 01748-2175
(508) 435-6903
(508) 435-2311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0044953
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074053002
CIGNA
MA
01
—
0102037
UNITED HEALTHCARE
MA
01
—
2000000364
HARVID PILGRIM HEALTH CAR
MA
01
—
4692
FALLON
MA
05
—
6193358
—
MA
01
—
709859
TUFTS HEALTH PLAN
MA
01
—
J04562
BLUE CROSS& BLUE SHIELD
MA
Enumeration date
06/24/2005
Last updated
03/07/2023
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