Dr Diana Vanessa Perry, MD | |
55 Fogg Road, South Shore Medical Center, South Weymouth, MA 02190 | |
(781) 340-8373 | |
(781) 340-3699 |
Full Name | Dr Diana Vanessa Perry |
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Gender | Female |
Speciality | Pediatrics |
Location | 55 Fogg Road, South Weymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225029762 | NPI | - | NPPES |
0102440 | Medicaid | MA | |
155376 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 155376 (Massachusetts) | Primary |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Entity Name | Brigham & Womens Physicians Organization Inc |
---|---|
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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Dr Diana Vanessa Perry, MD 9 Cortland Dr, Sharon, MA 02067-3311 Ph: (781) 718-4934 | Dr Diana Vanessa Perry, MD 55 Fogg Road, South Shore Medical Center, South Weymouth, MA 02190 Ph: (781) 340-8373 |
Ms. Patricia I Tai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 549 Columbian St, Suite 100, South Weymouth, MA 02190 Phone: 781-337-5680 Fax: 781-337-3275 | |
Dr. Rubina Pothiawala, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 | |
Dr. Joyce M Traina, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 549 Columbian St, Suite 100, South Weymouth, MA 02190 Phone: 781-337-5680 Fax: 781-337-3275 | |
Dr. Eyad A Zahr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8373 Fax: 781-340-3699 | |
Dr. Kim A Bergner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8338 | |
Dr. Alison Marie Daigneault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8338 |