Provider Demographics
NPI:1285707356
Name:CARDONE, VITO R (MD)
Entity type:Individual
Prefix:
First Name:VITO
Middle Name:R
Last Name:CARDONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 MAIN ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3335
Mailing Address - Country:US
Mailing Address - Phone:781-438-9600
Mailing Address - Fax:781-438-9601
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:SUITE 150
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3335
Practice Address - Country:US
Practice Address - Phone:781-438-9600
Practice Address - Fax:781-438-9601
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2010-02-04
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Provider Licenses
StateLicense IDTaxonomies
MA56751207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA205326043OtherUNITED HEALTHCARE
MAJ06571OtherBLUE CROSS BLUE SHIELD
MAM19813OtherBC/BS NEQCA
MA13397OtherHARVARD PILGRIM HEALTHCAR
MA205326043OtherCIGNA HEALTHCARE
MA25276OtherFALLON HEALTH CARE
MA712663OtherTUFTS HEALTH PLAN
MAM19275OtherBCBS INDEMNITY
MA1380826OtherAETNA HEALTHCARE
MAM19275OtherBCBS INDEMNITY
MAM19275Medicare PIN