Dan L Longo, MD | |
111 Cypress St, Brookline, MA 02445-6002 | |
(857) 307-0896 | |
Not Available |
Full Name | Dan L Longo |
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Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 111 Cypress St, Brookline, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790842664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | D0020564 (Maryland) | Primary |
Entity Name | Dana-farber Cancer Institute, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228 |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Dan L Longo, MD 111 Cypress St, Brookline, MA 02445-6002 Ph: (857) 307-0896 | Dan L Longo, MD 111 Cypress St, Brookline, MA 02445-6002 Ph: (857) 307-0896 |
Elliot Israel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Cypress St, Brookline, MA 02445 Phone: 857-307-0896 | |
Sandra R Richman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Paul St Apt 301, Brookline, MA 02446 Phone: 617-277-5302 | |
David A Walton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Brigham And Women's Hospital, 111 Cypress Street, Brookline, MA 02445 Phone: 617-582-1192 | |
Dr. Doreen F Matteson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 48 Kent St, Suite 8, Brookline, MA 02445 Phone: 617-731-0641 | |
Charles Myron Blatt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Longwood Ave, Lown Cardiovascular Group, Brookline, MA 02446 Phone: 617-732-1318 | |
Amnon Wachman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-232-3464 | |
Justin D. Pearlman, MD ME PHD MA Internal Medicine Medicare: Medicare Enrolled Practice Location: 25 Goddard Cir, Brookline, MA 02445 Phone: 617-894-6888 |