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Contact Information

BANKOLE A SAMUEL, MD
85 LINCOLN STREET
410
FRAMINGHAM, MA01702
 Phone: 508-820-1650
 Fax: 508-872-2796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BANKOLE A SAMUEL · (Male)

NPI Number 1376838243
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2011
Last updated 09/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 270942
  • MA Medicaid 110099405A
Hospital affiliation(s)
  • METROWEST MEDICAL CENTER - (Acute Care)
    115 LINCOLN STREET
    FRAMINGHAM, MA 01701
  • ST VINCENT HOSPITAL - (Acute Care)
    123 SUMMER STREET
    WORCESTER, MA 01608
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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