Mr Miguel Eduardo Tobon Lascano, MD | |
31 Burlington Mall Roaf, Burlington, MA 01805-0001 | |
(781) 744-5100 | |
Not Available |
Full Name | Mr Miguel Eduardo Tobon Lascano |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 31 Burlington Mall Roaf, 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 |
---|---|---|---|
1447670450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301505668 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
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Mr Miguel Eduardo Tobon Lascano, MD 31 Burlington Mall Rd, Burlington, MA 01803-4138 Ph: (941) 266-6770 | Mr Miguel Eduardo Tobon Lascano, MD 31 Burlington Mall Roaf, Burlington, MA 01805-0001 Ph: (781) 744-5100 |
Helen Sarah Zitkovsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8940 | |
Bartholomew J Kane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-2500 Fax: 781-744-5743 | |
Dr. Guillaume Georges Kugener, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 178-174-4510 | |
Dr. Stephen Eric Karp, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8800 Fax: 781-744-5636 | |
Peter Marcinkowski, Surgery Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Dr. John Pin Wei, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5215 | |
Dr. Bedabrata Sarkar, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Road, Lahey Hospital And Medical Center, Burlington, MA 01850 Phone: 781-744-5100 |