| Aphmfp- Department Of Neurology | |
|
148 Chestnut St Needham MA 02492-2505 | |
| (781) 453-3696 | |
| (781) 453-3720 |
| Full Name | Aphmfp- Department Of Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 148 Chestnut St, Needham, Massachusetts |
| Authorized Official Name and Position | Alexa Kimball (PRESIDENT AND CEO) |
| Authorized Official Contact | 6176327441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aphmfp- Department Of Neurology 375 Longwood Ave Ste 3 Boston MA 02215-5395 Ph: () - | Aphmfp- Department Of Neurology 148 Chestnut St Needham MA 02492-2505 Ph: (781) 453-3696 |
| NPI Number | 1487162426 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 6305749987 |
|---|---|
| Medicare Enrollment ID | O20180412001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487162426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Massachusetts) | Primary |
| Provider Name | David Eric Searls |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386811032 PECOS PAC ID: 4981778628 Enrollment ID: I20080730000104 |
| Provider Name | Michael B Westover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184653487 PECOS PAC ID: 4385810209 Enrollment ID: I20120706000009 |
| Provider Name | Valeriy Parfenov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730353939 PECOS PAC ID: 1951579093 Enrollment ID: I20121130000128 |
| Provider Name | Tracey A Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598920332 PECOS PAC ID: 4082800487 Enrollment ID: I20180412001363 |
| Provider Name | Jennifer Lea Dearborn-tomazos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144457755 PECOS PAC ID: 4789834425 Enrollment ID: I20181105000683 |
| Provider Name | Peter Zhao Yan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649546367 PECOS PAC ID: 0749528081 Enrollment ID: I20190927001335 |
| Provider Name | Ross Mandeville |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205084183 PECOS PAC ID: 7012146269 Enrollment ID: I20201102000106 |
| Provider Name | Veronica Maria Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750974994 PECOS PAC ID: 4688079007 Enrollment ID: I20210824001471 |
| Provider Name | Stephanie B Rutrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295189801 PECOS PAC ID: 9335546407 Enrollment ID: I20210916002455 |
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