George B Reservitz, MD | |
300 Mt. Auburn Street, Suite 519, Suite 519, Cambridge, MA 02138-5600 | |
(617) 547-4400 | |
(617) 576-1076 |
Full Name | George B Reservitz |
---|---|
Gender | Male |
Speciality | Urology |
Location | 300 Mt. Auburn Street, Suite 519, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225037518 | NPI | - | NPPES |
6172219 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 27845 (Massachusetts) | Primary |
Entity Name | Massachusetts Institute Of Technology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346308723 PECOS PAC ID: 5597658666 Enrollment ID: O20040203000789 |
Mailing Address | Practice Location Address |
---|---|
George B Reservitz, MD 300 Mt. Auburn Street, Suite 519, Suite 519, Cambridge, MA 02138-5600 Ph: (617) 547-4400 | George B Reservitz, MD 300 Mt. Auburn Street, Suite 519, Suite 519, Cambridge, MA 02138-5600 Ph: (617) 547-4400 |
Roderick H Crocker Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Ste 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 | |
Dr. Maria Alexandra Ordonez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-2555 | |
Louis S Liou, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-3590 | |
James C Ku, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Suite 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 | |
Paul D Lafontaine, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Ste 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 |