E James Gruver Iii, MD | |
55 Fogg Rd, South Weymouth, MA 02190-2432 | |
(781) 340-8338 | |
Not Available |
Full Name | E James Gruver Iii |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 55 Fogg Rd, South Weymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861453391 | NPI | - | NPPES |
3188850 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 81065 (Massachusetts) | Primary |
Entity Name | Children's Hospital Pediatric Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
---|---|
E James Gruver Iii, MD 7 Tanglewood Rd, Wellesley, MA 02481-2615 Ph: (781) 235-5579 | E James Gruver Iii, MD 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8338 |
Ms. Patricia I Tai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 549 Columbian St, Suite 100, South Weymouth, MA 02190 Phone: 781-337-5680 Fax: 781-337-3275 | |
Dr. Rubina Pothiawala, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 | |
Dr. Diana Vanessa Perry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Road, South Shore Medical Center, South Weymouth, MA 02190 Phone: 781-340-8373 Fax: 781-340-3699 | |
Dr. Joyce M Traina, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 549 Columbian St, Suite 100, South Weymouth, MA 02190 Phone: 781-337-5680 Fax: 781-337-3275 | |
Dr. Eyad A Zahr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8373 Fax: 781-340-3699 | |
Dr. Kim A Bergner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8338 | |
Dr. Alison Marie Daigneault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8338 |