| John Jefferys Bandola, M.d. | |
|
70 Kenyon Ave Suite 326 Wakefield RI 02879-4239 | |
| (401) 789-8543 | |
| (401) 782-8766 |
| Full Name | John Jefferys Bandola, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Kenyon Ave, Wakefield, Rhode Island |
| Authorized Official Name and Position | John Jefferys Bandola (OWNER) |
| Authorized Official Contact | 4017898543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Jefferys Bandola, M.d. 70 Kenyon Ave Suite 326 Wakefield RI 02879-4239 Ph: (401) 789-8543 | John Jefferys Bandola, M.d. 70 Kenyon Ave Suite 326 Wakefield RI 02879-4239 Ph: (401) 789-8543 |
| NPI Number | 1629265236 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629265236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5619 (Rhode Island) | Primary |
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