Dr Russell T Coleman, MD | |
120 Boston Rd Ste 1, Groton, MA 01450-1860 | |
(978) 577-0437 | |
(978) 448-6707 |
Full Name | Dr Russell T Coleman |
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Gender | Male |
Speciality | Pediatrics |
Location | 120 Boston Rd Ste 1, Groton, 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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1770579641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 153987 (Massachusetts) | Primary |
Entity Name | Pediatrics West Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598850281 PECOS PAC ID: 0143448514 Enrollment ID: O20140826002429 |
Mailing Address | Practice Location Address |
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Dr Russell T Coleman, MD 120 Boston Rd Ste 1, Groton, MA 01450-1860 Ph: (978) 577-0437 | Dr Russell T Coleman, MD 120 Boston Rd Ste 1, Groton, MA 01450-1860 Ph: (978) 577-0437 |
Mark Francis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Boston Rd, Suite F, Groton, MA 01450 Phone: 978-577-0437 Fax: 978-448-6707 | |
Rebbecca L Olszak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 497 Main Street, 4b, Groton, MA 01450 Phone: 978-449-0471 | |
Jean Marie Nordin, DDS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 495 Main Street, Groton, MA 01450 Phone: 978-449-9919 Fax: 978-449-9929 | |
Jessica S Amorosino, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Boston Rd, Suite F, Groton, MA 01450 Phone: 978-448-8282 | |
Karen Hiltunen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Boston Rd, Suite F, Groton, MA 01450 Phone: 978-448-8282 Fax: 978-448-6707 |