Dr Dustin Lee Cotliar, MD | |
983 Boston-providence Turnpike, Dedham, MA 02026 | |
(781) 819-6400 | |
(339) 234-6921 |
Full Name | Dr Dustin Lee Cotliar |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 983 Boston-providence Turnpike, Dedham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649665233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 322459 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 273956 (Massachusetts) | Primary |
Entity Name | South Shore Health Express Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477044212 PECOS PAC ID: 6406108836 Enrollment ID: O20181115000152 |
Entity Name | Convenientmd - Ffs Uc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790528628 PECOS PAC ID: 5193186492 Enrollment ID: O20230921002173 |
Mailing Address | Practice Location Address |
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Dr Dustin Lee Cotliar, MD 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700 | Dr Dustin Lee Cotliar, MD 983 Boston-providence Turnpike, Dedham, MA 02026 Ph: (781) 819-6400 |
Dimitrios Dimitropoulos, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 202 Sanderson Ave, Dedham, MA 02026 Phone: 781-329-8127 | |
Ms. Kimberly Schoen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 370 Providence Hwy, Dedham, MA 02026 Phone: 781-461-0200 |