Provider Demographics
NPI:1043479587
Name:PATWARDHAN, VILAS R (MD)
Entity Type:Individual
Prefix:
First Name:VILAS
Middle Name:R
Last Name:PATWARDHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:110 FRANCIS ST, SUITE 8E
Mailing Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-632-1070
Mailing Address - Fax:617-632-1065
Practice Address - Street 1:110 FRANCIS ST, SUITE 8E
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-632-1070
Practice Address - Fax:617-632-1065
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2016-03-04
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Provider Licenses
StateLicense IDTaxonomies
MA245710207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology