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NPI Code Detail

MEDICARE: DR. FRANK RICHARD PANDOLFE M.D.

MEDICARE: DR. FRANK RICHARD PANDOLFE M.D.
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 Physician251381MA

General Provider Information

NPI Number : 1457587792
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK RICHARD PANDOLFE M.D.
Provider Business Mailing Address
First Line : 55 FOGG RD
Second Line : BOX 97
City : WEYMOUTH
State : MA
Zip : 02190
Country : US
Telephone Number : 781-624-8000
Fax Number : 781-682-5627
Provider Business Practice Location Address
First Line : 55 FOGG RD
Second Line :
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2455
Country : US
Telephone Number : 781-624-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2009
Last Update Date : 01/07/2021

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