Garrison Cross Woodfield, | |
17 Inner Belt Rd, Somerville, MA 02143 | |
(617) 629-6790 | |
Not Available |
Full Name | Garrison Cross Woodfield |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 17 Inner Belt Rd, Somerville, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003334335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Vinfen Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225168271 PECOS PAC ID: 8729336870 Enrollment ID: O20200916002885 |
Mailing Address | Practice Location Address |
---|---|
Garrison Cross Woodfield, 17 Innerbelt Rd, Somerville, MA 02143-4418 Ph: (617) 629-6790 | Garrison Cross Woodfield, 17 Inner Belt Rd, Somerville, MA 02143 Ph: (617) 629-6790 |
Mr. Josh Bartok, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Medford St # 2, Somerville, MA 02145 Phone: 617-794-2637 | |
Yvonne Kathryn Fall, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Stone Ave Apt 2, Somerville, MA 02143 Phone: 781-424-1958 | |
Timothy J Quinones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 260 Beacon St, Somerville, MA 02143 Phone: 617-661-5700 | |
Michael Phillips Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Ward St Ste 200, Somerville, MA 02143 Phone: 617-629-6790 | |
Ms. Christine Kathleen Mcquade, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 Elm St Fl 3, Somerville, MA 02144 Phone: 413-297-3717 | |
Fabiana Telles Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway, Somerville, MA 02145 Phone: 617-284-7000 |