| |
8 Commerce Blvd Middleboro MA 02346-1030 | |
(774) 373-8630 | |
(774) 373-8628 |
Full Name | |
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Speciality | Clinic/Center |
Location | 8 Commerce Blvd, Middleboro, Massachusetts |
Authorized Official Name and Position | Nicolas-sonny Nguyen (CMO) |
Authorized Official Contact | 6173968005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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41 Mall Rd Burlington MA 01805-0001 Ph: (781) 744-8085 | 8 Commerce Blvd Middleboro MA 02346-1030 Ph: (774) 373-8630 |
NPI Number | 1568292423 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 7719291434 |
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Medicare Enrollment ID | O20160517000441 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568292423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Katherine Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093705907 PECOS PAC ID: 9830080761 Enrollment ID: I20040322000907 |
Provider Name | Kerry A Assarian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457499923 PECOS PAC ID: 8426042151 Enrollment ID: I20040414000383 |
Provider Name | Spencer R Amesbury |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235178328 PECOS PAC ID: 6103811880 Enrollment ID: I20040420001119 |
Provider Name | Andrew Lenhardt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639285562 PECOS PAC ID: 9032108634 Enrollment ID: I20040510000301 |
Provider Name | Lisa M Connolly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487677027 PECOS PAC ID: 7517957624 Enrollment ID: I20040512001049 |
Provider Name | Lori L Goodwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497736284 PECOS PAC ID: 5597747766 Enrollment ID: I20040602000624 |
Provider Name | Jana Oettinger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437184587 PECOS PAC ID: 3678558897 Enrollment ID: I20040622000892 |
Provider Name | Manju Sheth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790731487 PECOS PAC ID: 6305817933 Enrollment ID: I20040805000495 |
Provider Name | Timothy M Loughran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083659585 PECOS PAC ID: 5991777443 Enrollment ID: I20040806000429 |
Provider Name | Deborah P Shih |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679512768 PECOS PAC ID: 2769454529 Enrollment ID: I20040811000952 |
Provider Name | Robert C. Herron |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922060631 PECOS PAC ID: 1850364134 Enrollment ID: I20040816000438 |
Provider Name | Jose Guerra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043259039 PECOS PAC ID: 5496728446 Enrollment ID: I20040817001151 |
Provider Name | Jeffrey G Miner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760477046 PECOS PAC ID: 6901865542 Enrollment ID: I20041008000035 |
Provider Name | Kathryn Hollett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619965654 PECOS PAC ID: 7113986720 Enrollment ID: I20041008000588 |
Provider Name | Laurie Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295796886 PECOS PAC ID: 8022079060 Enrollment ID: I20041022000364 |
Provider Name | Alyssa S Handler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114985744 PECOS PAC ID: 3375501166 Enrollment ID: I20041227000546 |
Provider Name | Joseph B Taylor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902970627 PECOS PAC ID: 3870549843 Enrollment ID: I20050323000934 |
Provider Name | Mauri R Cohen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093767857 PECOS PAC ID: 2163495292 Enrollment ID: I20050323001107 |
Provider Name | Amy B Esdale |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538256532 PECOS PAC ID: 3375599921 Enrollment ID: I20050325000712 |
Provider Name | Sarkis H Soukiasian |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790876092 PECOS PAC ID: 2365499969 Enrollment ID: I20050406000215 |
Provider Name | Miguel A Martinez |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063558427 PECOS PAC ID: 7012954167 Enrollment ID: I20050411001116 |
Provider Name | Kristina G Jackson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740350586 PECOS PAC ID: 9032156039 Enrollment ID: I20050412000308 |
Provider Name | Marc A Pifko |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134183320 PECOS PAC ID: 9234177577 Enrollment ID: I20050419000151 |
Provider Name | Mitchell L Kase |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497701650 PECOS PAC ID: 0840238523 Enrollment ID: I20050422000295 |
Provider Name | Gary I Portnay |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346289345 PECOS PAC ID: 3072560002 Enrollment ID: I20050425000451 |
Provider Name | Pierre D Abou Ezzi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033134812 PECOS PAC ID: 3173563871 Enrollment ID: I20050511000697 |
Provider Name | Victor H Carabba |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386673184 PECOS PAC ID: 7517912371 Enrollment ID: I20050527000194 |
Provider Name | Austin J Obrien |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104808138 PECOS PAC ID: 1355384694 Enrollment ID: I20050607000901 |
Provider Name | Tina R Waugh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174510382 PECOS PAC ID: 6709777428 Enrollment ID: I20050608000275 |
Provider Name | Paula Jo Carbone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942318449 PECOS PAC ID: 2062456627 Enrollment ID: I20050614001126 |
Provider Name | Hugh M Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477639706 PECOS PAC ID: 9436114410 Enrollment ID: I20050630000194 |
Provider Name | Alison Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902989403 PECOS PAC ID: 1850328279 Enrollment ID: I20050718000752 |
Provider Name | Daniel J Mccullough |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558397240 PECOS PAC ID: 4082641410 Enrollment ID: I20050718000776 |
Provider Name | Suzanne C Baughn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770626517 PECOS PAC ID: 5597798470 Enrollment ID: I20050912000887 |
Provider Name | Pinky Jain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417963182 PECOS PAC ID: 6800814500 Enrollment ID: I20051117000334 |
Provider Name | Nina M Lapine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326036500 PECOS PAC ID: 5395750756 Enrollment ID: I20060207000595 |
Provider Name | Janet Lee Pellegrino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558359737 PECOS PAC ID: 2668487042 Enrollment ID: I20060207000784 |
Provider Name | Debra A Schiebel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689717431 PECOS PAC ID: 3274549373 Enrollment ID: I20060227000702 |
Provider Name | William J Medwid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134218704 PECOS PAC ID: 4981615689 Enrollment ID: I20060509000811 |
Provider Name | Rose S Weld |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295709582 PECOS PAC ID: 8325062110 Enrollment ID: I20060522000154 |
Provider Name | Anna Zlotina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497762322 PECOS PAC ID: 9436152857 Enrollment ID: I20060824000142 |
Provider Name | David M Driscoll |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992878003 PECOS PAC ID: 6608875547 Enrollment ID: I20061204000356 |
Provider Name | Emily K Chin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386724896 PECOS PAC ID: 9739188103 Enrollment ID: I20061212000499 |
Provider Name | Joseph P Ordonez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992799183 PECOS PAC ID: 6709885064 Enrollment ID: I20061214000072 |
Provider Name | Pamela M Schwedler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902991797 PECOS PAC ID: 9537160296 Enrollment ID: I20070123000354 |
Provider Name | Colleen Zamagni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104035609 PECOS PAC ID: 3870693211 Enrollment ID: I20070713000378 |
Provider Name | Caroline Bevona |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1245225044 PECOS PAC ID: 8022109115 Enrollment ID: I20070803000107 |
Provider Name | Heather T Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679591366 PECOS PAC ID: 9436153764 Enrollment ID: I20070824000594 |
Provider Name | Clara N Cabrera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487851697 PECOS PAC ID: 1557455656 Enrollment ID: I20070920000248 |
Provider Name | Shannon L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417158296 PECOS PAC ID: 5597859272 Enrollment ID: I20070926000320 |
Provider Name | Caroline M O'connell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992995195 PECOS PAC ID: 4981799525 Enrollment ID: I20070927000690 |
Provider Name | Lynn Kim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093924342 PECOS PAC ID: 6002902582 Enrollment ID: I20071013000084 |
Provider Name | Daniel Jurayj |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1538138581 PECOS PAC ID: 6901988369 Enrollment ID: I20080124000535 |
Provider Name | Khether Raby |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1447241922 PECOS PAC ID: 3971577230 Enrollment ID: I20080531000051 |
Provider Name | Thomas M Ruenger |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1982695664 PECOS PAC ID: 0446321103 Enrollment ID: I20080624000403 |
Provider Name | John W Dickason |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932148020 PECOS PAC ID: 3779654371 Enrollment ID: I20080625000012 |
Provider Name | Stephen R Guay |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871672162 PECOS PAC ID: 4789742461 Enrollment ID: I20081024000159 |
Provider Name | Keren Wilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154570372 PECOS PAC ID: 9436207750 Enrollment ID: I20090424000411 |
Provider Name | Cynthia L Sershen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366614497 PECOS PAC ID: 7113064437 Enrollment ID: I20091019000606 |
Provider Name | Roberta L Morrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326271123 PECOS PAC ID: 2668511148 Enrollment ID: I20091121000090 |
Provider Name | Daneil Kuftinec |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1801081609 PECOS PAC ID: 3375631336 Enrollment ID: I20100327000305 |
Provider Name | Andrew Escoll |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376507012 PECOS PAC ID: 0143353565 Enrollment ID: I20100804001238 |
Provider Name | Laurie Gumuchian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215990999 PECOS PAC ID: 8628102704 Enrollment ID: I20100811000121 |
Provider Name | Adam Lipworth |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174650501 PECOS PAC ID: 4385768100 Enrollment ID: I20100901000035 |
Provider Name | Andrew Lubin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922217728 PECOS PAC ID: 1254455868 Enrollment ID: I20100903000381 |
Provider Name | Jill Marie Fleming |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306800529 PECOS PAC ID: 6305962507 Enrollment ID: I20100924000956 |
Provider Name | Jeffrey R Rubel |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1508873670 PECOS PAC ID: 9638260805 Enrollment ID: I20101004001095 |
Provider Name | Joshua M Sheehan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447425467 PECOS PAC ID: 0446443873 Enrollment ID: I20101019000156 |
Provider Name | Catherine Celler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427240852 PECOS PAC ID: 1951594134 Enrollment ID: I20101020000622 |
Provider Name | Marie T. Walsh Condon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033301486 PECOS PAC ID: 2062605199 Enrollment ID: I20101021001043 |
Provider Name | Jaipal Gandhi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629219639 PECOS PAC ID: 3173717881 Enrollment ID: I20101027000034 |
Provider Name | Jayamala Pillai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952562464 PECOS PAC ID: 4385839901 Enrollment ID: I20101109000906 |
Provider Name | Cynthia P Sfeir |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1396910063 PECOS PAC ID: 4385830611 Enrollment ID: I20101129000122 |
Provider Name | Malini Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255328522 PECOS PAC ID: 8729267539 Enrollment ID: I20110126000427 |
Provider Name | Lillian S Moy-yee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730162181 PECOS PAC ID: 7012197437 Enrollment ID: I20110202000134 |
Provider Name | Kimberly Kersten |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912903030 PECOS PAC ID: 4486835881 Enrollment ID: I20110217000732 |
Provider Name | Frederic Resnic |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1740231281 PECOS PAC ID: 5597946384 Enrollment ID: I20110228000331 |
Provider Name | Mithun S Nallari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902130891 PECOS PAC ID: 1557545738 Enrollment ID: I20110413000119 |
Provider Name | Kristen M Ghergurovich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386626125 PECOS PAC ID: 6103001821 Enrollment ID: I20110422000396 |
Provider Name | Melissa A Donais |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992017917 PECOS PAC ID: 3173709300 Enrollment ID: I20110523000759 |
Provider Name | Timothy S Draper |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1750541181 PECOS PAC ID: 8426228214 Enrollment ID: I20110906000321 |
Provider Name | Shiloe Souza Burzinski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134310311 PECOS PAC ID: 0042481673 Enrollment ID: I20110912000532 |
Provider Name | Yahaida Rimola Dejesus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588827851 PECOS PAC ID: 3971774290 Enrollment ID: I20110919000262 |
Provider Name | Katherine C Caughel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164700878 PECOS PAC ID: 2567633407 Enrollment ID: I20110926000266 |
Provider Name | Kristy M Cahill |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528228608 PECOS PAC ID: 5294907598 Enrollment ID: I20111010000592 |
Provider Name | Karen Damico |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780847194 PECOS PAC ID: 3375715279 Enrollment ID: I20111019000742 |
Provider Name | Jeanette M Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104108471 PECOS PAC ID: 9931366895 Enrollment ID: I20120203000351 |
Provider Name | Christine Gulla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083721120 PECOS PAC ID: 0648431395 Enrollment ID: I20120405000587 |
Provider Name | Andrew W Whetstone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073793444 PECOS PAC ID: 8628231305 Enrollment ID: I20120516000166 |
Provider Name | Patricia A Sheridan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356484273 PECOS PAC ID: 2961665492 Enrollment ID: I20120521000554 |
Provider Name | Eve G Amendola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790068823 PECOS PAC ID: 9234395690 Enrollment ID: I20120730000626 |
Provider Name | Karra M Cheever |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083992622 PECOS PAC ID: 0143476002 Enrollment ID: I20120808000417 |
Provider Name | Patricia A Jacques |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164713251 PECOS PAC ID: 3577712207 Enrollment ID: I20121012000384 |
Provider Name | Yuriy Andrusyshyn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497988299 PECOS PAC ID: 8628228905 Enrollment ID: I20121022000806 |
Provider Name | Autumn M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336471309 PECOS PAC ID: 2567613250 Enrollment ID: I20121106000042 |
Provider Name | Richard E Benetti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174752448 PECOS PAC ID: 8022260900 Enrollment ID: I20121129000362 |
Provider Name | Brent A Fryling |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053369611 PECOS PAC ID: 9537219589 Enrollment ID: I20130820001031 |
Provider Name | Terese Landry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437460045 PECOS PAC ID: 6002040086 Enrollment ID: I20131004000498 |
Provider Name | Matthew C. Plosker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558682211 PECOS PAC ID: 3678707684 Enrollment ID: I20131007000558 |
Provider Name | Philip Formica |
---|---|
Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
Provider Identifiers | NPI Number: 1184883209 PECOS PAC ID: 2668607243 Enrollment ID: I20131107000707 |
Provider Name | Maryanne M Senna |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1326276726 PECOS PAC ID: 1456587641 Enrollment ID: I20131118000709 |
Provider Name | Michael Levy |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1366681207 PECOS PAC ID: 6406029008 Enrollment ID: I20131212001624 |
Provider Name | Jennifer Ann Akeley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083042915 PECOS PAC ID: 6709014996 Enrollment ID: I20140115001076 |
Provider Name | Erin P Bursey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316375728 PECOS PAC ID: 0345479812 Enrollment ID: I20140203000292 |
Provider Name | Danane Chhor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124469499 PECOS PAC ID: 4981835410 Enrollment ID: I20140327000095 |
Provider Name | Nicolette M Zitano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154743532 PECOS PAC ID: 3577788348 Enrollment ID: I20140710002288 |
Provider Name | Marc Manganiello |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1801059837 PECOS PAC ID: 3577782341 Enrollment ID: I20140910001820 |
Provider Name | Monica Belletete |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831593193 PECOS PAC ID: 7113243825 Enrollment ID: I20150224000050 |
Provider Name | Katie Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952703092 PECOS PAC ID: 2062733686 Enrollment ID: I20150609000054 |
Provider Name | Alessandro Cancelliere |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073888236 PECOS PAC ID: 3678887460 Enrollment ID: I20150807013329 |
Provider Name | Angela M Freniere |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104189307 PECOS PAC ID: 1456579192 Enrollment ID: I20150812008074 |
Provider Name | Jessica Stevenson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912266982 PECOS PAC ID: 6103133178 Enrollment ID: I20150923003059 |
Provider Name | Leslie Elizabeth Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154706240 PECOS PAC ID: 5092023762 Enrollment ID: I20150929002128 |
Provider Name | Heidi Prieur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750765046 PECOS PAC ID: 8820306269 Enrollment ID: I20151005000391 |
Provider Name | Jennifer C Li |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851651087 PECOS PAC ID: 4587887823 Enrollment ID: I20151014002202 |
Provider Name | Kristin Hennessey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851643969 PECOS PAC ID: 8123338001 Enrollment ID: I20151104002612 |
Provider Name | Yanina Barbalat |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1306160213 PECOS PAC ID: 0042436701 Enrollment ID: I20160114002181 |
Provider Name | Jason Marchi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578938379 PECOS PAC ID: 7911206115 Enrollment ID: I20160421002122 |
Provider Name | Amanda Coffey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376998914 PECOS PAC ID: 6103119268 Enrollment ID: I20160727000268 |
Provider Name | Paul Daniel Silveri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487917811 PECOS PAC ID: 6608196373 Enrollment ID: I20160729001347 |
Provider Name | Alison Louise Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508157371 PECOS PAC ID: 2365662418 Enrollment ID: I20160908002250 |
Provider Name | Sokunthirith Thach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922341148 PECOS PAC ID: 1951620285 Enrollment ID: I20161020001379 |
Provider Name | Robert Waugh |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1003950569 PECOS PAC ID: 7113043183 Enrollment ID: I20161021000742 |
Provider Name | Margaret Legner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023006962 PECOS PAC ID: 5395808653 Enrollment ID: I20161026002677 |
Provider Name | Erica Jesi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093267205 PECOS PAC ID: 1052692589 Enrollment ID: I20161221001386 |
Provider Name | Richard Kevin Heneghan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316243587 PECOS PAC ID: 1850205329 Enrollment ID: I20170324001369 |
Provider Name | Elizabeth S Gomez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992177026 PECOS PAC ID: 7012216799 Enrollment ID: I20170411000097 |
Provider Name | Neeraj Mahajan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174801351 PECOS PAC ID: 7810118809 Enrollment ID: I20170516002430 |
Provider Name | Elizabeth C Scannell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1629310016 PECOS PAC ID: 7214208586 Enrollment ID: I20170804000233 |
Provider Name | Adam J Wulkan |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174865901 PECOS PAC ID: 0840561890 Enrollment ID: I20170809001890 |
Provider Name | Margaret B Mcnamara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093152134 PECOS PAC ID: 9739306259 Enrollment ID: I20170830003962 |
Provider Name | Laura Boulter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407370216 PECOS PAC ID: 1850664293 Enrollment ID: I20170906001648 |
Provider Name | Emily Samaha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811300353 PECOS PAC ID: 7517282502 Enrollment ID: I20170908000489 |
Provider Name | Hilda A Rock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477971976 PECOS PAC ID: 8022313840 Enrollment ID: I20170913000582 |
Provider Name | Jennifer L Burzyk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407230493 PECOS PAC ID: 7315255452 Enrollment ID: I20171002000434 |
Provider Name | Melanie L Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285159400 PECOS PAC ID: 8527333889 Enrollment ID: I20171012001463 |
Provider Name | Sarah Glaser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316463805 PECOS PAC ID: 7315213394 Enrollment ID: I20171018002115 |
Provider Name | Nicholas George Avgerinos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265852867 PECOS PAC ID: 7012228794 Enrollment ID: I20171024002902 |
Provider Name | Shelby E Gifford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386161933 PECOS PAC ID: 8224394721 Enrollment ID: I20171116002109 |
Provider Name | Myra Pieri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528506235 PECOS PAC ID: 4284994765 Enrollment ID: I20180131002721 |
Provider Name | Casey O'reilly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265936736 PECOS PAC ID: 0840555140 Enrollment ID: I20180606003013 |
Provider Name | Melanie Roy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497287064 PECOS PAC ID: 8820343791 Enrollment ID: I20180618000526 |
Provider Name | Zachary Schwager |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174932446 PECOS PAC ID: 9032465513 Enrollment ID: I20180713001469 |
Provider Name | Nidhi B Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407134745 PECOS PAC ID: 9638399983 Enrollment ID: I20190109000598 |
Provider Name | Emily L Opolski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194224436 PECOS PAC ID: 8123364833 Enrollment ID: I20190116001953 |
Provider Name | Charles J Emerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760947683 PECOS PAC ID: 8426399726 Enrollment ID: I20190415002613 |
Provider Name | Lauren Chiarenza Lomonaco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063077030 PECOS PAC ID: 7012240823 Enrollment ID: I20190611001169 |
Provider Name | Edward Martinez |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1578983524 PECOS PAC ID: 9739304478 Enrollment ID: I20190809000650 |
Provider Name | Samantha Flecchia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962055368 PECOS PAC ID: 8123356193 Enrollment ID: I20190829000186 |
Provider Name | Dana Marcinkowski-desmond |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922454677 PECOS PAC ID: 3779874656 Enrollment ID: I20191115001127 |
Provider Name | Louisa E Codier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518512250 PECOS PAC ID: 2769814136 Enrollment ID: I20191125000128 |
Provider Name | Ashley N Zaganjori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992358451 PECOS PAC ID: 0648603043 Enrollment ID: I20191125001906 |
Provider Name | Meghan Elizabeth Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235776998 PECOS PAC ID: 1355775925 Enrollment ID: I20200107003234 |
Provider Name | Anna E Read |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215563531 PECOS PAC ID: 4082035548 Enrollment ID: I20200609001696 |
Provider Name | Dawn E Buxbaum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184951303 PECOS PAC ID: 9133540537 Enrollment ID: I20200610000783 |
Provider Name | Neera Nathan |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1811343361 PECOS PAC ID: 9032402490 Enrollment ID: I20200722003502 |
Provider Name | Tiana Ingersoll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811534761 PECOS PAC ID: 7416367156 Enrollment ID: I20201107000058 |
Provider Name | Shams Abbas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639607963 PECOS PAC ID: 5294006169 Enrollment ID: I20201208001580 |
Provider Name | Julia E Hankin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396052965 PECOS PAC ID: 7315168028 Enrollment ID: I20201218002200 |
Provider Name | Marisa J Nezaria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437768728 PECOS PAC ID: 9335553007 Enrollment ID: I20210121000896 |
Provider Name | Meghan E Beskid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891396024 PECOS PAC ID: 2860891199 Enrollment ID: I20210519000228 |
Provider Name | Kerri Carleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669013884 PECOS PAC ID: 2466851589 Enrollment ID: I20210521002165 |
Provider Name | Sneha Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477043610 PECOS PAC ID: 1557766896 Enrollment ID: I20210824003020 |
Provider Name | Tiffany Sun |
---|---|
Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
Provider Identifiers | NPI Number: 1245620921 PECOS PAC ID: 1355615337 Enrollment ID: I20210830002429 |
Provider Name | Adam Ludvigson |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1689093080 PECOS PAC ID: 6103042874 Enrollment ID: I20210901001168 |
Provider Name | Molly Klinka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548939572 PECOS PAC ID: 6002205192 Enrollment ID: I20211110003032 |
Provider Name | Josue Fernandez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225528755 PECOS PAC ID: 9133518186 Enrollment ID: I20211111002565 |
Provider Name | Rachel Hilshey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487329744 PECOS PAC ID: 7719374875 Enrollment ID: I20220420002302 |
Provider Name | Sylvana Brickley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487163945 PECOS PAC ID: 8325305519 Enrollment ID: I20220607001554 |
Provider Name | Stanton Collins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003178765 PECOS PAC ID: 3375674310 Enrollment ID: I20220628003374 |
Provider Name | Kelly Mueller |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1487148458 PECOS PAC ID: 0244587863 Enrollment ID: I20220816000486 |
Provider Name | Arantxa Lewis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831658079 PECOS PAC ID: 6002234044 Enrollment ID: I20220902001540 |
Provider Name | Laura Gaudette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336635580 PECOS PAC ID: 7719231026 Enrollment ID: I20220906001217 |
Provider Name | Rebecca Wallach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578026316 PECOS PAC ID: 1658755707 Enrollment ID: I20220908002444 |
Provider Name | Amy O'brien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427782358 PECOS PAC ID: 9032595145 Enrollment ID: I20220927002453 |
Provider Name | Karenjeet Chahal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497276083 PECOS PAC ID: 6406125251 Enrollment ID: I20221219001961 |
Provider Name | Emily Rose Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710551502 PECOS PAC ID: 1557731916 Enrollment ID: I20221228002775 |
Provider Name | Ellie Min |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790893980 PECOS PAC ID: 8628103322 Enrollment ID: I20230214001806 |
Provider Name | Adam Harold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265168116 PECOS PAC ID: 4486026655 Enrollment ID: I20230217002259 |
Provider Name | Amanda Valentin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578269130 PECOS PAC ID: 9234502154 Enrollment ID: I20230223002345 |
Provider Name | Erinn M Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295362580 PECOS PAC ID: 6103246384 Enrollment ID: I20230517000837 |
Provider Name | Nikolai Klebanov |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1386202158 PECOS PAC ID: 1557693710 Enrollment ID: I20230710002250 |
Provider Name | Lynn Wiwanto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639707748 PECOS PAC ID: 6103242623 Enrollment ID: I20230814003033 |
Provider Name | Courtney King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073291597 PECOS PAC ID: 0446604664 Enrollment ID: I20230921002808 |
Provider Name | Grace Jang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497378046 PECOS PAC ID: 2567886955 Enrollment ID: I20230928003207 |
Provider Name | Jenny L Mamtora |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457974396 PECOS PAC ID: 8628424090 Enrollment ID: I20231023000995 |
Provider Name | Emily Manfra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497535363 PECOS PAC ID: 2163878356 Enrollment ID: I20231024002981 |
Provider Name | Meredith Veneziano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336912575 PECOS PAC ID: 8921456161 Enrollment ID: I20231128002289 |
Provider Name | Aliki Kallas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770368094 PECOS PAC ID: 3971953290 Enrollment ID: I20231229000124 |
Provider Name | Kathleen Prendergast |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750940961 PECOS PAC ID: 5991036170 Enrollment ID: I20240126002627 |
Provider Name | Divya Sharma |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1306296157 PECOS PAC ID: 5799070025 Enrollment ID: I20240326003947 |
Provider Name | Paula Atueyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700426186 PECOS PAC ID: 8729408760 Enrollment ID: I20240507001467 |
Provider Name | Vrishali Suman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194202705 PECOS PAC ID: 1759632466 Enrollment ID: I20240627001552 |
Provider Name | Nicole Maria Lanzo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699476648 PECOS PAC ID: 5092250142 Enrollment ID: I20240712001268 |
Provider Name | Aron Chacko |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003490244 PECOS PAC ID: 4880096981 Enrollment ID: I20240802001249 |
Provider Name | Laurie Ann Merker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891371456 PECOS PAC ID: 6305247073 Enrollment ID: I20240820003804 |
Provider Name | Lisa Macvane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215514286 PECOS PAC ID: 3375982804 Enrollment ID: I20240920002529 |
Michael C. Randon, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Isaac St, Middleboro, MA 02346 Phone: 508-947-9295 Fax: 508-947-7974 | |
Charles Wolff, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 North St, Middleboro, MA 02346 Phone: 508-946-9696 | |
Jiri R. Kudlicka, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Anderson Ave, Middleboro, MA 02346 Phone: 508-947-8737 Fax: 508-947-8493 | |
Bertrand Chapman, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 W Grove St, Middleboro, MA 02346 Phone: 508-947-7610 | |
Richard A. Gross, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Center St, Middleboro, MA 02346 Phone: 508-947-7673 Fax: 508-947-6336 |