Danielle Aysha Sultan, DO | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(508) 421-1400 | |
(508) 421-1490 |
Full Name | Danielle Aysha Sultan |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457972614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1018304 (Massachusetts) | Primary |
207P00000X | Emergency Medicine | OT019869 (Pennsylvania) | Secondary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
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Danielle Aysha Sultan, DO Po Box 415348, Boston, MA 02241-5348 Ph: () - | Danielle Aysha Sultan, DO 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 421-1400 |
Hillary R. Irons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490 | |
Dr. Thomas Evans, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Romolo J. Gaspari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490 | |
Alexander Hart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Roderick Cross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Austin Tam, MD, SCM Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Robert Brewer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-421-1439 |