Ronald J Sunog, MD | |
100 Maple Ave, Great Barrington, MA 01230-1963 | |
(508) 584-1890 | |
(508) 894-0412 |
Full Name | Ronald J Sunog |
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Gender | Male |
Speciality | Pediatrics |
Location | 100 Maple Ave, Great Barrington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346273646 | NPI | - | NPPES |
3071359 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 54267 (Massachusetts) | Primary |
Entity Name | Pratt Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
Entity Name | Berkshire Faculty Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
Mailing Address | Practice Location Address |
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Ronald J Sunog, MD 100 Maple Ave, Great Barrington, MA 01230-1963 Ph: () - | Ronald J Sunog, MD 100 Maple Ave, Great Barrington, MA 01230-1963 Ph: (508) 584-1890 |
Dr. Ruby Chang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave, Suite 1, Great Barrington, MA 01230 Phone: 413-528-4047 Fax: 413-528-3407 | |
Dr. Leslye Robin Heilig, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave Ste 1, Great Barrington, MA 01230 Phone: 413-528-4047 Fax: 413-528-3407 | |
Claudia Meininger-gold, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 444 Stockbridge Rd, Great Barrington, MA 01230 Phone: 413-528-8580 Fax: 413-528-8583 | |
Dr. Deborah Buccino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave Ste 1, Great Barrington, MA 01230 Phone: 413-528-4047 Fax: 413-528-3407 | |
Lisa M Sylvia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave, Suite 1, Great Barrington, MA 01230 Phone: 413-528-4047 Fax: 413-528-3407 | |
Mitali Saha, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Maple Ave Ste 1, Great Barrington, MA 01230 Phone: 413-528-4047 Fax: 413-528-3407 |