Gladys G Carrasco Roman, | |
180 Walnut Street, Chelsea, MA 02150 | |
(617) 889-2864 | |
Not Available |
Full Name | Gladys G Carrasco Roman |
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Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 180 Walnut Street, Chelsea, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518468099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DF11267 (Massachusetts) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 016.0133993 (Vermont) | Primary |
Entity Name | Trustees Of Boston University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
Mailing Address | Practice Location Address |
---|---|
Gladys G Carrasco Roman, 2 Inwood Dr Apt 1005, Woburn, MA 01801-5279 Ph: (617) 270-1405 | Gladys G Carrasco Roman, 180 Walnut Street, Chelsea, MA 02150 Ph: (617) 889-2864 |
Jungsun Yoon, Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 Broadway Apt 1c, Chelsea, MA 02150 Phone: 617-889-5437 | |
Hetal Rana, Dentist Medicare: Medicare Enrolled Practice Location: 357 Broadway, Chelsea, MA 02150 Phone: 617-515-2779 | |
Dr. Tabitha Lindita Lewis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1096 Revere Beach Pkwy, Chelsea, MA 02150 Phone: 857-302-4457 | |
Chloe Ann Habib, DMD Dentist Medicare: Medicare Enrolled Practice Location: 950 Broadway Apt 1c, Chelsea, MA 02150 Phone: 617-889-5437 | |
Dr. Joanne Tsagas, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1096 Revere Beach Pkwy, Chelsea, MA 02150 Phone: 617-889-2090 | |
Dr. Jubin Zaboulian, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 Everett Ave, #5, Chelsea, MA 02150 Phone: 617-884-4444 | |
Mauni Patel, Dentist Medicare: Medicare Enrolled Practice Location: 373 Broadway, Chelsea, MA 02150 Phone: 617-887-0600 |