Sophia Gorgens, MD | |
680 Centre St, Brockton, MA 02302-3308 | |
(508) 941-7400 | |
Not Available |
Full Name | Sophia Gorgens |
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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 |
---|---|---|---|
1538685193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 321922 (New York) | Secondary |
207P00000X | Emergency Medicine | 1018369 (Massachusetts) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Sophia Gorgens, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7400 | Sophia Gorgens, MD 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 |