Pedulla, James F

Pedulla, James F is an individual health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Pedulla, James F can be contacted via phone (617) 569-5800.

Contact Information

Primary practice address
10 Gove St East Boston MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55682 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 55682 Massachusetts

Profile Details

NPI number 1366467201
LBN Legal business name Pedulla, James F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366467201 NPPES
Massachusetts MEDICAID 3028861

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