| Commonwealth Oral & Maxillofacial Surgical Associates Inc. | |
|
2353 Massachusetts Ave Cambridge MA 02140-1252 | |
| (617) 492-8700 | |
| (617) 492-0698 |
| Full Name | Commonwealth Oral & Maxillofacial Surgical Associates Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2353 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Edward L Lechtenberg (PRESIDENT) |
| Authorized Official Contact | 6174928700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Oral & Maxillofacial Surgical Associates Inc. 2353 Massachusetts Ave Cambridge MA 02140-1252 Ph: (617) 492-8700 | Commonwealth Oral & Maxillofacial Surgical Associates Inc. 2353 Massachusetts Ave Cambridge MA 02140-1252 Ph: (617) 492-8700 |
| NPI Number | 1457375107 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 8123187358 |
|---|---|
| Medicare Enrollment ID | O20081103000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457375107 | NPI | - | NPPES |
| Provider Name | Toby J Feldman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205850971 PECOS PAC ID: 5395630131 Enrollment ID: I20040219000528 |
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