| Sam C Gonzalez, MD | |
|
637 Washington St, Dorchester, MA 02124-3510 | |
| (617) 825-9660 | |
| (617) 288-7898 |
| Full Name | Sam C Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 637 Washington St, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881199560 | NPI | - | NPPES |
| Entity Name | Boston University Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134166390 PECOS PAC ID: 0446154074 Enrollment ID: O20031125000010 |
| Entity Name | Codman Square Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
| Entity Name | Boston University Obstetrics And Gynecology Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459568 PECOS PAC ID: 1456323153 Enrollment ID: O20070525000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam C Gonzalez, MD 960 Massachusetts Ave, Fl 2, Boston, MA 02118 Ph: () - | Sam C Gonzalez, MD 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 |
Dr. Geoffrey Alan Modest, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Columbia Rd, Dorchester, MA 02125 Phone: 617-287-8000 Fax: 617-282-8625 | |
Valerie Efonda Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140 | |
Dr. Daniel Cagua-koo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140 | |
Dr. Chinh Van Le, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 617-825-2352 | |
Dr. Elise Marie Henricks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Columbia Rd, Dorchester, MA 02125 Phone: 617-740-8075 Fax: 617-740-8060 | |
Dr. Amrutha Denduluri, MBBS, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington Street, Dorchester, MA 02124 Phone: 617-825-9660 | |
Glennon John Ogrady, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 978-686-4137 |