MARIO FERNANDO JARAMILLO RDO NPI 1568964054

NPI Information

NPI: 1568964054
Provider Name: MARIO FERNANDO JARAMILLO, RDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
1 LYONS ST
DEDHAM, MA
ZIP 02026
Phone: (760) 567-1300
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Mario Fernando Jaramillo, RDO is an optician technician technologist in Dedham, MA. Mario Fernando Jaramillo, RDO NPI is 1568964054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 LYONS ST
DEDHAM, MA
ZIP 02026-599
Phone: (760) 567-1300

The enumeration date for this NPI number is 3/1/2018 and was last updated on 3/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	6120	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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