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NPI Code Detail

MEDICARE: NICOLAS FANDINO-RUBIO MD

MEDICARE: NICOLAS FANDINO-RUBIO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician1023880MA

General Provider Information

NPI Number : 1396485785
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAS FANDINO-RUBIO MD
Provider Business Mailing Address
First Line : PO BOX 415318
Second Line :
City : BOSTON
State : MA
Zip : 02241-5348
Country : US
Telephone Number : 800-225-8885
Fax Number : 508-334-1977
Provider Business Practice Location Address
First Line : 119 BELMONT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2903
Country : US
Telephone Number : 508-334-8515
Fax Number : 508-334-6490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 02/06/2026

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Directions to “ NICOLAS FANDINO-RUBIO MD” Practice Location

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