| The Elliot Lewis Center For Multiple Sclerosis Care Llc | |
|
110 Cedar St Suite 110 Wellesley MA 02481-3527 | |
| (781) 591-8300 | |
| Not Available |
| Full Name | The Elliot Lewis Center For Multiple Sclerosis Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 Cedar St, Wellesley, Massachusetts |
| Authorized Official Name and Position | Ellen Lathi (MANAGER) |
| Authorized Official Contact | 7815918300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Elliot Lewis Center For Multiple Sclerosis Care Llc 110 Cedar St Suite 110 Wellesley MA 02481-3527 Ph: (781) 591-8300 | The Elliot Lewis Center For Multiple Sclerosis Care Llc 110 Cedar St Suite 110 Wellesley MA 02481-3527 Ph: (781) 591-8300 |
| NPI Number | 1306210422 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 04/06/2017 |
| Medicare PECOS PAC ID | 3072807650 |
|---|---|
| Medicare Enrollment ID | O20160804000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306210422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Joshua D Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659367522 PECOS PAC ID: 4789748492 Enrollment ID: I20090126000020 |
| Provider Name | Andrew J Bouley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831539519 PECOS PAC ID: 8628295359 Enrollment ID: I20170915001428 |
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