David N Louis, MD | |
55 Fruit St, Wrn 2, Boston, MA 02114-2621 | |
(617) 726-2966 | |
(617) 726-7533 |
Full Name | David N Louis |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology |
Location | 55 Fruit St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326038753 | NPI | - | NPPES |
J12149 | Other | MA | BCBS MA |
3089649 | Medicaid | MA | |
057278 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZN0500X | Pathology - Neuropathology | 57278 (Massachusetts) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 57278 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
David N Louis, MD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | David N Louis, MD 55 Fruit St, Wrn 2, Boston, MA 02114-2621 Ph: (617) 726-2966 |
Arthur J Sytkowski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: Beth Israel Deaconess, One Deaconess Road, Boston, MA 02215 Phone: 617-632-9980 | |
Stuti Girish Shroff, MD, MBBS Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2971 Fax: 617-726-7533 | |
Dr. David Kolin, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St., Department Of Pathology, Boston, MA 02115 Phone: 617-732-6913 Fax: 617-277-9015 | |
Dr. Dimitra Pouli, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Nancy Lee Harris, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Wrn 2 Pathology Associates, Boston, MA 02114 Phone: 617-726-5155 Fax: 617-726-9353 | |
Dr. Michael Gerald Drage, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 55 Fruit St Bldg 225, Boston, MA 02114 Phone: 617-643-0800 Fax: 617-726-7474 | |
Dr. Ruth K Foreman, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Pathology, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-8613 |