MEDICARE: DR. JOHN ALBERT MAPILI 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
1	207Q00000X	Family Medicine Physician	4301081966	MI
2	207Q00000X	Family Medicine Physician	230303	MA

General Provider Information

NPI Number	:	1952317018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ALBERT MAPILI M.D.

Provider Business Mailing Address
First Line	:	362 N BEDFORD ST
Second Line	:
City	:	E BRIDGEWATER
State	:	MA
Zip	:	02333-1148
Country	:	US
Telephone Number	:	508-350-2350
Fax Number	:	508-350-2318

Provider Business Practice Location Address
First Line	:	8 COMMERCE BLVD
Second Line	:
City	:	MIDDLEBORO
State	:	MA
Zip	:	02346-1030
Country	:	US
Telephone Number	:	774-260-9300
Fax Number	:	774-260-9305

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	05/06/2013

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