Provider Demographics
NPI:1679866727
Name:FINE, ANTONELLA BOLLETTINO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONELLA
Middle Name:BOLLETTINO
Last Name:FINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 PARK ST., P.O. BOX 2963
Mailing Address - Street 2:STURDY MEMORIAL HOSPITAL DEPARTMENT OF MEDICINE
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-0963
Mailing Address - Country:US
Mailing Address - Phone:508-236-7909
Mailing Address - Fax:
Practice Address - Street 1:211 PARK ST.
Practice Address - Street 2:STURDY MEMORIAL HOSPITAL DEPARTMENT OF MEDICINE
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-0963
Practice Address - Country:US
Practice Address - Phone:508-236-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILPO2275207RI0200X
MA267503207RI0200X
RILP02275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine