Bond, Andrea J

Bond, Andrea J is an individual health care provider with primary practice located at 2444 E Main Rd , Portsmouth RI 02871-4025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bond, Andrea J can be contacted via phone (401) 683-4817.

Contact Information

Primary practice address
2444 E Main Rd Portsmouth RI 02871-4025
Phone: (401) 683-4817
Fax: (508) 973-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 152833 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD09062 Rhode Island

Profile Details

NPI number 1265420442
LBN Legal business name Bond, Andrea J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Apr 20th, 2020 - about 6 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 1265420442 NPPES
Rhode Island MEDICAID 7005263

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