Ivy Sang Co, DO | |
41 Mall Rd, Burlington, MA 01805-5612 | |
(781) 744-8000 | |
Not Available |
Full Name | Ivy Sang Co |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 41 Mall Rd, Burlington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477058444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 34.016535 (Ohio) | Secondary |
207L00000X | Anesthesiology | 1020219 (Massachusetts) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
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Ivy Sang Co, DO Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001 Ph: () - | Ivy Sang Co, DO 41 Mall Rd, Burlington, MA 01805-5612 Ph: (781) 744-8000 |
Michael N Andrawes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Ewan M Cameron, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273 | |
Maureen E Mcgann, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Lori B Sheehan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273 | |
Balram Sharma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-2273 | |
Kari G Doucette, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273 | |
Dr. Elijah Levy Carlson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 781-744-5100 |