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NPI Code Detail

MEDICARE: DR. ANTONELLA BOLLETTINO FINE M.D.

MEDICARE:  DR. ANTONELLA BOLLETTINO FINE  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
1207RI0200XInfectious Disease PhysicianLPO2275RI
2207RI0200XInfectious Disease Physician267503MA
3207R00000XInternal Medicine PhysicianLP02275RI

General Provider Information

NPI Number : 1679866727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTONELLA BOLLETTINO FINE M.D.
Provider Business Mailing Address
First Line : 211 PARK ST., P.O. BOX 2963
Second Line : STURDY MEMORIAL HOSPITAL DEPARTMENT OF MEDICINE
City : ATTLEBORO
State : MA
Zip : 02703-0963
Country : US
Telephone Number : 508-236-7909
Fax Number :
Provider Business Practice Location Address
First Line : 211 PARK ST.
Second Line : STURDY MEMORIAL HOSPITAL DEPARTMENT OF MEDICINE
City : ATTLEBORO
State : MA
Zip : 02703-0963
Country : US
Telephone Number : 508-236-7909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2011
Last Update Date : 08/04/2016

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Directions to “ DR. ANTONELLA BOLLETTINO FINE M.D.” Practice Location

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