Raneem S Islam, DO | |
680 Centre St, Brockton, MA 02302-3308 | |
(508) 941-7400 | |
(508) 941-6200 |
Full Name | Raneem S Islam |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 680 Centre St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366672115 | NPI | - | NPPES |
110095811A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 254434 (Massachusetts) | Primary |
Entity Name | Signature Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Entity Name | Brockton Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063431286 PECOS PAC ID: 4082504733 Enrollment ID: O20040317000871 |
Mailing Address | Practice Location Address |
---|---|
Raneem S Islam, DO 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7400 | Raneem S Islam, DO 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7400 |
Luis E. Ortiz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dr. Stephen J Simon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dr. John Kyle Volpe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7200 | |
Grant Wei, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Dept. Of Emergency Medicine, Brockton, MA 02302 Phone: 508-941-7400 | |
Jacob Kallenberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3075 | |
Daniel Werzanski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Laura A Griffin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre Street, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7000 |