Active NPIOrganization

John Jefferys Bandola, M.d.

Internal Medicine in Wakefield, Rhode Island

NPI Number1629265236
Practice location
70 Kenyon Ave, Suite 326, Wakefield, RI 02879-4239
Fax
401-782-8766
Last updated
March 23, 2010

John Jefferys Bandola, M.d. is a healthcare organization based in Wakefield, RI. John Jefferys Bandola, M.d. practices in Wakefield, RI. The NPI Number for John Jefferys Bandola, M.d. is 1629265236 and holds a License No. 5619 (RI). The current practice location address for John Jefferys Bandola, M.d. is 70 Kenyon Ave, Suite 326, Wakefield, RI 02879-4239 and can be reached out via phone at 401-789-8543 and via fax at 401-782-8766.

Provider Profile Details

NPI Number
1629265236
Provider Name
John Jefferys Bandola, M.d.
Provider Entity Type
Organization
Address
70 Kenyon Ave, Suite 326, Wakefield, RI 02879-4239
Phone Number
401-789-8543
Fax Number
401-782-8766
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. John Jefferys Bandola, MD · Owner · 401-789-8543
Provider Enumeration Date
September 27, 2007
Last Update Date
March 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Kenyon Ave
Suite 326
Wakefield, RI 02879-4239
Zip
02879-4239
Phone Number
401-789-8543
Fax Number
401-782-8766
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
70 Kenyon Ave
Suite 326
Wakefield, RI 02879-4239
City
Wakefield
State
RI
Zip
02879-4239
Phone Number
401-789-8543
Fax Number
401-782-8766

License Information

License Number
5619
License State
RI
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John Jefferys Bandola, M.d.?

The NPI number of John Jefferys Bandola, M.d. is 1629265236. It was assigned on September 27, 2007 and is currently active in the NPPES registry.

What is the specialty of John Jefferys Bandola, M.d.?

John Jefferys Bandola, M.d. is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in RI under license number 5619.

Where does John Jefferys Bandola, M.d. practice?

The practice location is 70 Kenyon Ave, Suite 326, Wakefield, RI 02879-4239. The office can be reached at 401-789-8543 (phone) or 401-782-8766 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629265236 directly on the NPPES registry website.

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