MEDICARE: FEDERICO V RONDINELLI DC

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
1	111N00000X	Chiropractor	1680	MA

General Provider Information

NPI Number	:	1215972096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEDERICO V RONDINELLI DC

Provider Business Mailing Address
First Line	:	478 PLEASANT ST
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4531
Country	:	US
Telephone Number	:	339-927-5605
Fax Number	:	781-551-8292

Provider Business Practice Location Address
First Line	:	520 PROVIDENCE HWY STE 8
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4946
Country	:	US
Telephone Number	:	339-927-5605
Fax Number	:	781-551-8292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	09/28/2022

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