| Mark Gordon Boddy, MD | |
|
725 Welch Rd, Palo Alto, CA 94304-1601 | |
| (650) 497-8000 | |
| Not Available |
| Full Name | Mark Gordon Boddy |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 725 Welch Rd, Palo Alto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518059880 | NPI | - | NPPES |
| 00609221C | Medicaid | GA |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Gordon Boddy, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (831) 759-3265 | Mark Gordon Boddy, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
Dr. Edward Lee Cohen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, #112, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Winona Tan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2917 | |
Susan Diana Crowe, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Sylvie Leah Blumstein, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Amy E Judy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Sanaa Hasan Suharwardy, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Laura Brodzinsky, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 |