| Bay State Gastroenterology, P.c. | |
|
536 Lebanon St Melrose MA 02176-3523 | |
| (781) 979-0286 | |
| (781) 979-0324 |
| Full Name | Bay State Gastroenterology, P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 536 Lebanon St, Melrose, Massachusetts |
| Authorized Official Name and Position | Cathleen Dunn (PHYSICIAN ACCOUNT REPRESENTATIVE) |
| Authorized Official Contact | 7819796366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay State Gastroenterology, P.c. 1715 Broadway Saugus MA 01906-4703 Ph: (781) 979-6370 | Bay State Gastroenterology, P.c. 536 Lebanon St Melrose MA 02176-3523 Ph: (781) 979-0286 |
| NPI Number | 1316108079 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316108079 | NPI | - | NPPES |
| M17346 | Other | BLUE SHIELD PROVIDER NUMBER | |
| 6175864 | Medicaid | MA | |
| 683460 | Other | TUFTS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 46084 (Massachusetts) | Primary |
David M. Wahl, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Geneva Rd, Melrose, MA 02176 Phone: 617-877-1000 | |
Nicole Bloor, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Main St, Melrose, MA 02176 Phone: 781-662-2204 Fax: 781-662-2253 | |
Massachusetts Acute Care Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3000 Fax: 781-979-3015 | |
Carlo Cecchetti Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Tremont St, Suite 107, Melrose, MA 02176 Phone: 781-665-2058 | |
Nicola Mogavero Md Facr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 792 Main St, Melrose, MA 02176 Phone: 781-665-9066 Fax: 781-662-9758 | |
Luma Podiatry & Wound Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3500 |