Provider Demographics
NPI:1215972096
Name:RONDINELLI, FEDERICO V (DC)
Entity type:Individual
Prefix:
First Name:FEDERICO
Middle Name:V
Last Name:RONDINELLI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4531
Mailing Address - Country:US
Mailing Address - Phone:339-927-5605
Mailing Address - Fax:781-551-8292
Practice Address - Street 1:520 PROVIDENCE HWY STE 8
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4946
Practice Address - Country:US
Practice Address - Phone:339-927-5605
Practice Address - Fax:781-551-8292
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U65560Medicare UPIN
Y45106Medicare ID - Type Unspecified