Dr Omodamola Abisola Aje, | |
2100 Dorchester Ave, Dorchester, MA 02124-5615 | |
(617) 506-2726 | |
Not Available |
Full Name | Dr Omodamola Abisola Aje |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2100 Dorchester Ave, Dorchester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093207763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 275645 (Massachusetts) | Primary |
Entity Name | Berkshire Faculty Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
Mailing Address | Practice Location Address |
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Dr Omodamola Abisola Aje, 51 Woodbine St Apt 2, Boston, MA 02119-2132 Ph: (316) 744-5650 | Dr Omodamola Abisola Aje, 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: (617) 506-2726 |
Jugta Khuman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Island View Pl, Apt#603, Dorchester, MA 02125 Phone: 215-687-0833 | |
Dr. Dana Marie Hornbeak, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Caritas Carney Hospital, 7 South, Dorchester, MA 02124 Phone: 617-506-2726 | |
Ramninder Singh Nagra, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Jean J Alves, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Bowdoin St, Dorchester, MA 02122 Phone: 617-754-0066 | |
Dr. Emeka Agudile, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Anastasia Maltseva, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 |