Dr Michael R Piccioli, MD | |
133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | |
(978) 287-3167 | |
(978) 287-3391 |
Full Name | Dr Michael R Piccioli |
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Gender | Male |
Speciality | Pediatrics |
Location | 133 Old Road To 9 Acre Cor, Concord, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205240330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L-259661 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Entity Name | Emerson Practice Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
Mailing Address | Practice Location Address |
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Dr Michael R Piccioli, MD 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 Ph: (978) 287-3167 | Dr Michael R Piccioli, MD 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 Ph: (978) 287-3167 |
Jessica Rae Rubinstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 86 Baker Avenue Ext, Hvma-chma Dept Of Pediatrics, Concord, MA 01742 Phone: 978-287-9407 | |
John Sooy, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Baker Ave, Concord, MA 01742 Phone: 978-287-9400 | |
Edward C Saef, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 242 Baker Ave, Concord, MA 01742 Phone: 978-287-9400 | |
Lisa M Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 133 Ornac, Emerson Hospital, Concord, MA 01541 Phone: 978-369-1400 | |
Julie M Jankelson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 330 Baker Ave, Concord, MA 01742 Phone: 978-287-9400 Fax: 978-287-9408 | |
Charles A Garabedian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Ave Extension, Concord Hillside Medical Associates, Concord, MA 01742 Phone: 978-287-9400 Fax: 978-287-9408 |