Dr Eduardo O Dagostino, MD | |
349 N Main St, Andover, MA 01810-2687 | |
(978) 475-0959 | |
(978) 475-1769 |
Full Name | Dr Eduardo O Dagostino |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 349 N Main St, Andover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912907718 | NPI | - | NPPES |
C04853 | Other | BLUE SHIELD | |
0104086 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 44715 (Massachusetts) | Primary |
Entity Name | Ivs Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740440163 PECOS PAC ID: 9537233010 Enrollment ID: O20081201000530 |
Mailing Address | Practice Location Address |
---|---|
Dr Eduardo O Dagostino, MD 181 Wells Ave Ste 302, Newton, MA 02459-3344 Ph: (781) 972-7136 | Dr Eduardo O Dagostino, MD 349 N Main St, Andover, MA 01810-2687 Ph: (978) 475-0959 |
Rostislava Kanyuk-stoupnitska, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 138 Haverhill Street, Andover, MA 01810 Phone: 978-296-2302 Fax: 978-296-2304 | |
Dr. Ki-il Kim, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5 Worthen Pl, Andover, MA 01810 Phone: 978-475-0731 Fax: 978-475-0731 | |
Dr. Andrew E Mcquide, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11 Durham Dr, Andover, MA 01810 Phone: 978-289-7880 |