Basic Information
Provider Information
NPI: 1952317018
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAPILI
FirstName: JOHN
MiddleName: ALBERT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 362 N BEDFORD ST
Address2:  
City: E BRIDGEWATER
State: MA
PostalCode: 023331148
CountryCode: US
TelephoneNumber: 5083502350
FaxNumber: 5083502318
Practice Location
Address1: 8 COMMERCE BLVD
Address2:  
City: MIDDLEBORO
State: MA
PostalCode: 023461030
CountryCode: US
TelephoneNumber: 7742609300
FaxNumber: 7742609305
Other Information
ProviderEnumerationDate: 07/31/2006
LastUpdateDate: 05/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X4301081966MIN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X230303MAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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