Dr Kenneth Stillman, MD | |
112 Main St, Northborough, MA 01532-1914 | |
(508) 351-9250 | |
Not Available |
Full Name | Dr Kenneth Stillman |
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Gender | Male |
Speciality | Family Medicine |
Location | 112 Main St, Northborough, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053394726 | NPI | - | NPPES |
2071738 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42871 (Massachusetts) | Primary |
Entity Name | Harbor Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881692366 PECOS PAC ID: 0345146213 Enrollment ID: O20040223000221 |
Mailing Address | Practice Location Address |
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Dr Kenneth Stillman, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Dr Kenneth Stillman, MD 112 Main St, Northborough, MA 01532-1914 Ph: (508) 351-9250 |
Apeksha Tripathi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Main St, Suite 110, Northborough, MA 01532 Phone: 508-393-0131 | |
Linda Asamoah Boateng, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 10002a Shops Way, Northborough, MA 01532 Phone: 774-500-7334 | |
Dr. Michael A Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Sw Cutoff, Northborough, MA 01532 Phone: 774-570-5000 Fax: 774-570-5070 | |
Mikhail Novikov, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Main St Ste 165, Northborough, MA 01532 Phone: 508-936-1657 | |
Dr. Todd Christopher Malvey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E Main St, Suite 208, Northborough, MA 01532 Phone: 508-393-0183 Fax: 508-393-2310 |