Provider Demographics
NPI:1023074986
Name:DEL ROSARIO, GENE FRANCIS DUNGO (MD)
Entity type:Individual
Prefix:
First Name:GENE FRANCIS
Middle Name:DUNGO
Last Name:DEL ROSARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HIGHLAND ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-1037
Mailing Address - Country:US
Mailing Address - Phone:978-368-3870
Mailing Address - Fax:398-368-3877
Practice Address - Street 1:201 HIGHLAND ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-1037
Practice Address - Country:US
Practice Address - Phone:978-368-3870
Practice Address - Fax:398-368-3877
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217754207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2029626Medicaid
MAA35996Medicare ID - Type Unspecified
MA2029626Medicaid