Boston Cardiovascular Associates, P.c. | |
125 Parker Hill Ave Ste 500 Roxbury Crossing MA 02120-2847 | |
(617) 735-9200 | |
(617) 735-9230 |
Full Name | Boston Cardiovascular Associates, P.c. |
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Speciality | Internal Medicine |
Location | 125 Parker Hill Ave, Roxbury Crossing, Massachusetts |
Authorized Official Name and Position | Gerald Izzi (PRESIDENT) |
Authorized Official Contact | 6177359200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Boston Cardiovascular Associates, P.c. 125 Parker Hill Ave Ste 500 Roxbury Crossing MA 02120-2847 Ph: (617) 735-9200 | Boston Cardiovascular Associates, P.c. 125 Parker Hill Ave Ste 500 Roxbury Crossing MA 02120-2847 Ph: (617) 735-9200 |
NPI Number | 1003998477 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 12/23/2009 |
Medicare PECOS PAC ID | 1850334178 |
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Medicare Enrollment ID | O20050608000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003998477 | NPI | - | NPPES |
690848 | Other | MA | TUFTS |
9707727 | Medicaid | MA | |
M17822 | Other | MA | BXBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Provider Name | David Gomolin |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1528140985 PECOS PAC ID: 5496794349 Enrollment ID: I20050429000177 |
Provider Name | Gerald Izzi |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1154403566 PECOS PAC ID: 3577506898 Enrollment ID: I20051029000081 |
Whittier Street Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1290 Tremont St, Roxbury Crossing, MA 02120 Phone: 617-427-1000 Fax: 617-858-2674 | |
New England Baptist Medical Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Parker Hill Ave, Roxbury Crossing, MA 02120 Phone: 617-754-5800 |