Dr David Joseph Licht, MD | |
85 Pleasantview Ave, Longmeadow, MA 01106-1019 | |
(413) 244-6716 | |
Not Available |
Full Name | Dr David Joseph Licht |
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Gender | Male |
Speciality | Internal Medicine |
Location | 85 Pleasantview Ave, Longmeadow, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538350285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 48224 (Massachusetts) | Primary |
Entity Name | Infinite Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20220215000229 |
Mailing Address | Practice Location Address |
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Dr David Joseph Licht, MD 85 Pleasantview Ave, Longmeadow, MA 01106-1019 Ph: (413) 244-6716 | Dr David Joseph Licht, MD 85 Pleasantview Ave, Longmeadow, MA 01106-1019 Ph: (413) 244-6716 |
Dr. Deborah Jean Hoadley, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 175 Dwight Rd, Suite 203, Longmeadow, MA 01106 Phone: 413-567-0600 Fax: 413-567-2443 | |
Dr. Andrew Scott Wetstone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Dwight Road, Longmeadow, MA 01106 Phone: 413-795-4555 Fax: 413-794-9448 | |
Sarah K Lynaugh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Dwight Road, Suite 104, Longmeadow, MA 01106 Phone: 413-794-4555 Fax: 413-794-9448 | |
Dr. Saad Wasiq Usmani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Dwight Road, Suite 104, Longmeadow, MA 01106 Phone: 413-794-4555 Fax: 413-794-9448 | |
Rosette Perseveranda Odulio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Dwight Road, Suite 104, Longmeadow, MA 01106 Phone: 413-794-4555 Fax: 413-794-9448 | |
Dr. Helena C Gabriel, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Dwight Rd Ste 104, Longmeadow, MA 01106 Phone: 413-795-4555 Fax: 413-794-9448 |