Dr Divya Koster, MD | |
31 Roche Brothers Way Ste 210, North Easton, MA 02356-1038 | |
(508) 894-8760 | |
(508) 894-0412 |
Full Name | Dr Divya Koster |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 31 Roche Brothers Way Ste 210, North Easton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073694147 | NPI | - | NPPES |
33636 | Other | RI | NEIGHBORHOOD OF RI |
AA98084 | Other | RI | HARVARD PILGRIM |
6770670 | Other | RI | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD12414 (Rhode Island) | Primary |
Entity Name | Atrius Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
Entity Name | Signature Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Mailing Address | Practice Location Address |
---|---|
Dr Divya Koster, MD 31 Roche Brothers Way Ste 210, North Easton, MA 02356-1038 Ph: (508) 894-8760 | Dr Divya Koster, MD 31 Roche Brothers Way Ste 210, North Easton, MA 02356-1038 Ph: (508) 894-8760 |
Leena Mayuresh Rajwadkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412 | |
Dr. Kathleen Marie Petillo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762 | |
Jordan H Leff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762 | |
Dr. Suvekchha Devkota, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412 | |
Lisa R Natkin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762 |