Christopher L Defazio, MD | |
585 Lebanon St, Melrose, MA 02176 | |
(781) 979-3635 | |
(781) 979-3018 |
Full Name | Christopher L Defazio |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 585 Lebanon St, Melrose, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396711602 | NPI | - | NPPES |
058772 | Other | TUFTS | |
3042596 | Medicaid | MA | |
J07968 | Other | BCBS | |
665716 | Other | HARVARD PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 58772 (Massachusetts) | Primary |
207R00000X | Internal Medicine | 58772 (Massachusetts) | Secondary |
Entity Name | Melrose Wakefield Emergency Physicians, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790730539 PECOS PAC ID: 0244143006 Enrollment ID: O20031107000277 |
Entity Name | Hallmark Health Urgent Care Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184066912 PECOS PAC ID: 1153557616 Enrollment ID: O20131112001050 |
Mailing Address | Practice Location Address |
---|---|
Christopher L Defazio, MD 114 Harris Ave, Needham, MA 02492 Ph: (781) 444-1536 | Christopher L Defazio, MD 585 Lebanon St, Melrose, MA 02176 Ph: (781) 979-3635 |
Alexander O. Walker Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3635 | |
Thomas L Michelman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 585 Lebanon St, Whidden Memorial Hosp, Melrose, MA 02176 Phone: 781-979-3300 | |
Dr. Steven Sbardella, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 | |
Lawrence Whiting, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 | |
Garett Burke, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3300 | |
Manu Sondhi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 |