| Cohasset Harbor Adult Medicine Practice Llc | |
|
20 Parkingway Cohasset MA 02025-1700 | |
| (781) 383-9422 | |
| (781) 383-8024 |
| Full Name | Cohasset Harbor Adult Medicine Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Parkingway, Cohasset, Massachusetts |
| Authorized Official Name and Position | Roger Pompeo (MANAGER) |
| Authorized Official Contact | 7813839422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cohasset Harbor Adult Medicine Practice Llc 20 Parkingway Cohasset MA 02025-1700 Ph: (781) 383-9422 | Cohasset Harbor Adult Medicine Practice Llc 20 Parkingway Cohasset MA 02025-1700 Ph: (781) 383-9422 |
| NPI Number | 1508200908 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 2264672484 |
|---|---|
| Medicare Enrollment ID | O20130712000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508200908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 30135 (Massachusetts) | Primary |
| Provider Name | Roger A Pompeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710974480 PECOS PAC ID: 4385676527 Enrollment ID: I20050908000432 |
Roger A. Pompeo, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Parkingway, Cohasset, MA 02025 Phone: 781-383-9422 Fax: 781-383-8024 | |
Medi-weightloss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 Chief Justice Cushing Hwy Ste 1a, Cohasset, MA 02025 Phone: 339-793-0194 |