Timothy William Roedder, DO | |
55 Highland Ave Ste 104, Salem, MA 01970-2100 | |
(978) 745-4489 | |
Not Available |
Full Name | Timothy William Roedder |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 55 Highland Ave Ste 104, Salem, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063874295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 292649 (Massachusetts) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 292649 (Massachusetts) | Primary |
Entity Name | North Shore Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
Mailing Address | Practice Location Address |
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Timothy William Roedder, DO 55 Highland Ave Ste 104, Salem, MA 01970-2100 Ph: (978) 745-4489 | Timothy William Roedder, DO 55 Highland Ave Ste 104, Salem, MA 01970-2100 Ph: (978) 745-4489 |
Sandeep Mishra, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 81 Highland Ave, Dept Of Medicine ( Hospitalist), Salem, MA 01970 Phone: 978-354-4727 | |
John C Santos, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 331 Highland Ave, Salem, MA 01970 Phone: 978-744-3499 Fax: 978-744-6576 | |
Allison Leigh Cohen, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 331 Highland Ave Rear, Salem, MA 01970 Phone: 978-542-0331 Fax: 978-744-1875 | |
Michael George Burton-williams, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 81 Highland Ave, Salem, MA 01970 Phone: 978-825-7170 Fax: 978-825-7070 | |
William Lloyd, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 79 Highland Ave, Ste 309, Salem, MA 01970 Phone: 978-744-0866 Fax: 978-744-6138 | |
Dr. Patrick Livius Gordan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 81 Highland Ave, Salem, MA 01970 Phone: 978-354-2405 Fax: 978-825-6312 | |
Adam Matos, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 81 Highland Ave, Salem, MA 01970 Phone: 978-741-1200 |