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NPI Code Detail

MEDICARE: DR. JOSEPH VINCENT PAPANDREA OD

MEDICARE:  DR. JOSEPH VINCENT PAPANDREA  OD
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
1152W00000XOptometrist3074MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1721174OTHERMATUFTS HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3112613OTHERMAEYEMED
418047OTHERMAFALLON HEALTH PLAN
5233130OTHERMACIGNA HEALTHCARE
6PAW15735OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1538226170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH VINCENT PAPANDREA OD
Provider Business Mailing Address
First Line : 3 HEMLOCK ST
Second Line :
City : PAXTON
State : MA
Zip : 01612-1270
Country : US
Telephone Number : 508-755-9890
Fax Number :
Provider Business Practice Location Address
First Line : 9 SUTTON AVE
Second Line :
City : OXFORD
State : MA
Zip : 01540-1738
Country : US
Telephone Number : 508-987-2018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOSEPH VINCENT PAPANDREA OD” Practice Location

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