Provider Demographics
NPI:1417925116
Name:DEL MUNDO, WINFRED F B (MD)
Entity Type:Individual
Prefix:DR
First Name:WINFRED
Middle Name:F B
Last Name:DEL MUNDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-681-1720
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-681-1720
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-2297845OtherHCVM/FIRST HEALTH/COVENTRY
04-2297845OtherGIC/UNICARE
04-2297845OtherTRICARE
1417925116OtherFALLON
1417925116OtherNEIGHBORHOOD HEALTH
1467690OtherCIGNA
AA370982OtherHARVARD PILGRIM
212580OtherTUFTS/TMP
7513315OtherAETNA
MAJ24643OtherBCBSMA
04-2297845OtherUNITED HEALTH CARE
MA1417925116Medicaid
04-2297845OtherMULTI-PLAN
1417925116OtherFALLON
1417925116OtherNEIGHBORHOOD HEALTH