| Bruce A Kaster Md Pc | |
|
60 Kendrick St Needham MA 02494-2726 | |
| (617) 964-8200 | |
| (617) 969-0996 |
| Full Name | Bruce A Kaster Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 60 Kendrick St, Needham, Massachusetts |
| Authorized Official Name and Position | Bruce A Kaster (OWNER) |
| Authorized Official Contact | 6179648200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Kaster Md Pc 77 Clifton Rd Newton MA 02459-3111 Ph: (617) 909-2828 | Bruce A Kaster Md Pc 60 Kendrick St Needham MA 02494-2726 Ph: (617) 964-8200 |
| NPI Number | 1497110738 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Medicare PECOS PAC ID | 6103123781 |
|---|---|
| Medicare Enrollment ID | O20160325000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497110738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 76271 (Massachusetts) | Primary |
| Provider Name | Bruce A Kaster |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1346281961 PECOS PAC ID: 8022026731 Enrollment ID: I20060322000359 |
| Provider Name | Carol E Bowen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326059445 PECOS PAC ID: 3072692821 Enrollment ID: I20080828000010 |
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