John L Maddox, MD | |
500 Salem St, Wilmington, MA 01887-1200 | |
(978) 988-6209 | |
(978) 988-6139 |
Full Name | John L Maddox |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 500 Salem St, Wilmington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801887229 | NPI | - | NPPES |
0149110 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 211906 (Massachusetts) | Primary |
Entity Name | Mass General Brigham Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891112637 PECOS PAC ID: 1759273436 Enrollment ID: O20150723007726 |
Mailing Address | Practice Location Address |
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John L Maddox, MD 122 Lakeview Ave, Haverhill, MA 01830-2716 Ph: (978) 988-6209 | John L Maddox, MD 500 Salem St, Wilmington, MA 01887-1200 Ph: (978) 988-6209 |
Sandy Stephens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139 | |
Mrs. Gayathry Sooriyakumar Nene, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6200 | |
Normand A Tanguay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139 | |
Carolyn J Sedor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139 | |
Daniel M Carson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139 | |
Sarah Andrew, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139 |