Dr Christine Anne Diedwardo, MD | |
41 Mall Rd, Burlington, MA 01805-0001 | |
(781) 744-5100 | |
(781) 744-5215 |
Full Name | Dr Christine Anne Diedwardo |
---|---|
Gender | Female |
Speciality | Plastic Surgery |
Location | 41 Mall Rd, Burlington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164479705 | NPI | - | NPPES |
110004228A | Medicaid | MA | |
0151246 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 204888 (Massachusetts) | Primary |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Mailing Address | Practice Location Address |
---|---|
Dr Christine Anne Diedwardo, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-5100 | Dr Christine Anne Diedwardo, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-5100 |
Dr. Sonal N. Pandya, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5215 | |
Dr. Adam James Vernadakis, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Inc. - Plastic Surgery, Burlington, MA 01805 Phone: 781-744-8582 Fax: 781-744-1052 |