Ms Ingrid Y Henar, MD | |
South Cove Community Center, 277 Commercial Street, Malden, MA 02148 | |
(617) 253-1505 | |
Not Available |
Full Name | Ms Ingrid Y Henar |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | South Cove Community Center, Malden, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407820046 | NPI | - | NPPES |
J08794 | Other | MA | BLUE CROSS |
110060594A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 51855 (Massachusetts) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | 51855 (Massachusetts) | Primary |
Entity Name | Massachusetts Institute Of Technology |
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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 |
---|---|
Ms Ingrid Y Henar, MD Ingrid Henar Md/south Cove Community Health Center, 277 Commercial Street, Malden, MA 02148 Ph: (617) 253-1505 | Ms Ingrid Y Henar, MD South Cove Community Center, 277 Commercial Street, Malden, MA 02148 Ph: (617) 253-1505 |
Dr. Manorama Mathur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1127 Salem St, Malden, MA 02148 Phone: 781-324-6192 Fax: 781-324-2930 | |
Dr. Tien-lan Chang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 Fax: 781-322-5820 | |
Dr. Austin Shih-yih Liu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 | |
Dr. Ephat Hadas Russcol, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 Fax: 781-322-5820 | |
Dr. Rosalinda J Ott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 Fax: 781-322-5820 | |
Maura K Shea, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 Fax: 781-322-5820 |