| Dothouse Health | |
|
1353 Dorchester Ave Dorchester MA 02122-2932 | |
| (617) 740-2200 | |
| (617) 825-4972 |
| Full Name | Dothouse Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1353 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Sharon Champion (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6177402277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dothouse Health 1353 Dorchester Ave Dorchester MA 02122-2932 Ph: (617) 740-2200 | Dothouse Health 1353 Dorchester Ave Dorchester MA 02122-2932 Ph: (617) 740-2200 |
| NPI Number | 1578514733 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 07/16/2020 |
| Medicare PECOS PAC ID | 8729991021 |
|---|---|
| Medicare Enrollment ID | O20031112000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578514733 | NPI | - | NPPES |
| BD8771140 | Other | MA | FED. CONTROLLED SUBSTANCE |
| 1211765 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jean Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598725483 PECOS PAC ID: 5395649149 Enrollment ID: I20031122000078 |
| Provider Name | Tu Mai Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740338524 PECOS PAC ID: 9638075484 Enrollment ID: I20031211000337 |
| Provider Name | Barbara A Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962462952 PECOS PAC ID: 0547157919 Enrollment ID: I20040301000896 |
| Provider Name | Stephen Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619937075 PECOS PAC ID: 6709773153 Enrollment ID: I20040302000083 |
| Provider Name | Mary A Lunsford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649224569 PECOS PAC ID: 9638163066 Enrollment ID: I20040409000173 |
| Provider Name | Tuong V Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700820206 PECOS PAC ID: 0446248488 Enrollment ID: I20040506000242 |
| Provider Name | Nsa E Henshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427018605 PECOS PAC ID: 9234178419 Enrollment ID: I20050427000669 |
| Provider Name | Kathryn J Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462499 PECOS PAC ID: 7315987948 Enrollment ID: I20050503001142 |
| Provider Name | Benjamin A Quamina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831146539 PECOS PAC ID: 8022907328 Enrollment ID: I20050512000182 |
| Provider Name | Peter F Loewinthan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265492243 PECOS PAC ID: 3870535735 Enrollment ID: I20050601000798 |
| Provider Name | Linda A Cahill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124163852 PECOS PAC ID: 7113955329 Enrollment ID: I20050729000181 |
| Provider Name | Lilliam Pabon |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033272620 PECOS PAC ID: 4880626951 Enrollment ID: I20050909000302 |
| Provider Name | Judith R Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588608160 PECOS PAC ID: 0749207694 Enrollment ID: I20051029000270 |
| Provider Name | Dana S Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598725582 PECOS PAC ID: 9537177670 Enrollment ID: I20060330000453 |
| Provider Name | Phi V Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124092929 PECOS PAC ID: 8628089794 Enrollment ID: I20060606000206 |
| Provider Name | Steven D Ness |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700844206 PECOS PAC ID: 4082617279 Enrollment ID: I20060808000217 |
| Provider Name | Kimberly Banovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386664142 PECOS PAC ID: 5698777266 Enrollment ID: I20070210000119 |
| Provider Name | Alysia L Green |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013124296 PECOS PAC ID: 6305938317 Enrollment ID: I20070822001047 |
| Provider Name | Sheilah A Bernard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275518318 PECOS PAC ID: 8426130022 Enrollment ID: I20080204000476 |
| Provider Name | Judith Yen Lin Colclough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700839859 PECOS PAC ID: 3678585460 Enrollment ID: I20081202000902 |
| Provider Name | Michelle J Sia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376707588 PECOS PAC ID: 3870656267 Enrollment ID: I20090112000338 |
| Provider Name | Rosha Nicole Forman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265683932 PECOS PAC ID: 6204974108 Enrollment ID: I20091113000329 |
| Provider Name | Ivy Brackup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184691891 PECOS PAC ID: 2163561986 Enrollment ID: I20091207000688 |
| Provider Name | Allison Md Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184841736 PECOS PAC ID: 9335289990 Enrollment ID: I20091214000116 |
| Provider Name | Rhoda M Alani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154385268 PECOS PAC ID: 8426193657 Enrollment ID: I20100226000591 |
| Provider Name | Julie Crosson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457317935 PECOS PAC ID: 2163617424 Enrollment ID: I20101111001151 |
| Provider Name | Catherine E Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417933383 PECOS PAC ID: 4688862451 Enrollment ID: I20101221000071 |
| Provider Name | Jennifer Meade Proietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184925026 PECOS PAC ID: 1456522416 Enrollment ID: I20110922000587 |
| Provider Name | Rachel B. King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831353945 PECOS PAC ID: 8729259643 Enrollment ID: I20110924000004 |
| Provider Name | Thomas C Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386621092 PECOS PAC ID: 9133396963 Enrollment ID: I20120119000578 |
| Provider Name | Julita Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598725541 PECOS PAC ID: 5496901548 Enrollment ID: I20120806000883 |
| Provider Name | Scott P Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922247220 PECOS PAC ID: 7214188911 Enrollment ID: I20121106000138 |
| Provider Name | Thanh Trang Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023188364 PECOS PAC ID: 7012168032 Enrollment ID: I20121121000111 |
| Provider Name | Annalee Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154564060 PECOS PAC ID: 5890946826 Enrollment ID: I20121121000171 |
| Provider Name | Kuon S. Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730341686 PECOS PAC ID: 8123282050 Enrollment ID: I20121217000208 |
| Provider Name | Caroline Pahk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477780773 PECOS PAC ID: 7618121195 Enrollment ID: I20130211000003 |
| Provider Name | Valmeek Kudesia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700046398 PECOS PAC ID: 3375797673 Enrollment ID: I20130215000041 |
| Provider Name | Lindsay Braun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669727095 PECOS PAC ID: 3274787767 Enrollment ID: I20130218000001 |
| Provider Name | Sundyna J Beaven |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134392889 PECOS PAC ID: 0648425918 Enrollment ID: I20130313000213 |
| Provider Name | James M Caruso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366721110 PECOS PAC ID: 0941445704 Enrollment ID: I20130327000006 |
| Provider Name | Hong Phuong T Vo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417272097 PECOS PAC ID: 7214177435 Enrollment ID: I20130712000005 |
| Provider Name | Chukwuemeka C Nwanze |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043415607 PECOS PAC ID: 1456594464 Enrollment ID: I20130823000269 |
| Provider Name | Brittany Ann Diaz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932533189 PECOS PAC ID: 8325276652 Enrollment ID: I20140114000446 |
| Provider Name | Vitaliy Volansky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679703151 PECOS PAC ID: 2365613114 Enrollment ID: I20140408002101 |
| Provider Name | Hope Folan Grassi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598071623 PECOS PAC ID: 6103059035 Enrollment ID: I20140430001440 |
| Provider Name | Ricardo Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902195571 PECOS PAC ID: 0941432199 Enrollment ID: I20140904002382 |
| Provider Name | Debi Sarma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164825063 PECOS PAC ID: 4183947294 Enrollment ID: I20141222001510 |
| Provider Name | Kathleen Black Tenerowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093143968 PECOS PAC ID: 3870816499 Enrollment ID: I20150106000865 |
| Provider Name | Emma Coe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720494602 PECOS PAC ID: 5092033316 Enrollment ID: I20150417000967 |
| Provider Name | Holly Goodale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750340410 PECOS PAC ID: 7719208792 Enrollment ID: I20150602002201 |
| Provider Name | Rebecca Piekarski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609130079 PECOS PAC ID: 1052565140 Enrollment ID: I20151001000921 |
| Provider Name | Jessica R Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861750333 PECOS PAC ID: 7214169994 Enrollment ID: I20160204002184 |
| Provider Name | Sean P. Marker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104852011 PECOS PAC ID: 0840596235 Enrollment ID: I20160310001863 |
| Provider Name | Curtis Nordgaard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396011052 PECOS PAC ID: 6103043062 Enrollment ID: I20160329000721 |
| Provider Name | Vasileia Varvarigou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477816486 PECOS PAC ID: 7012216880 Enrollment ID: I20160428001658 |
| Provider Name | Payel J Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609119635 PECOS PAC ID: 9133351562 Enrollment ID: I20160907001827 |
| Provider Name | Jessica Fortin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841674967 PECOS PAC ID: 1850689027 Enrollment ID: I20161004002525 |
| Provider Name | Grace E Jeong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093121816 PECOS PAC ID: 4183934953 Enrollment ID: I20161228002096 |
| Provider Name | Linda B Le |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437699394 PECOS PAC ID: 2961789110 Enrollment ID: I20170426001180 |
| Provider Name | Phison Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194074385 PECOS PAC ID: 8224258017 Enrollment ID: I20170908000191 |
| Provider Name | Uy D Dam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921318 PECOS PAC ID: 9638444789 Enrollment ID: I20170929000942 |
| Provider Name | Ashley Farrington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336587021 PECOS PAC ID: 4284923400 Enrollment ID: I20171003003940 |
| Provider Name | Amy Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366968042 PECOS PAC ID: 3870850118 Enrollment ID: I20171122000631 |
| Provider Name | Brian J Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578018511 PECOS PAC ID: 3779841622 Enrollment ID: I20171222000253 |
| Provider Name | Jennifer Trinh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225379803 PECOS PAC ID: 6002176625 Enrollment ID: I20180130002010 |
| Provider Name | Rachel N Berkowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417332214 PECOS PAC ID: 6204125180 Enrollment ID: I20180201000948 |
| Provider Name | Cesylee Quyen Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124539051 PECOS PAC ID: 4688936180 Enrollment ID: I20180321001959 |
| Provider Name | Grace K Corbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609280288 PECOS PAC ID: 0143511980 Enrollment ID: I20180726001963 |
| Provider Name | Elicelot Encarnacion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518196484 PECOS PAC ID: 6002166584 Enrollment ID: I20180904001564 |
| Provider Name | Jacklyn Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306259098 PECOS PAC ID: 2264652015 Enrollment ID: I20180919001899 |
| Provider Name | Saleena Gul Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023424330 PECOS PAC ID: 9436377207 Enrollment ID: I20181018001690 |
| Provider Name | Monica Vohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003107541 PECOS PAC ID: 8527380518 Enrollment ID: I20190212000869 |
| Provider Name | Denis Shlosman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760970503 PECOS PAC ID: 8325387178 Enrollment ID: I20190222001238 |
| Provider Name | Rachel Wasserman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316410376 PECOS PAC ID: 7810239936 Enrollment ID: I20190419000706 |
| Provider Name | Stephen M. Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528453008 PECOS PAC ID: 0446565394 Enrollment ID: I20190423000207 |
| Provider Name | Yu Na Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821494162 PECOS PAC ID: 0446584908 Enrollment ID: I20190703000814 |
| Provider Name | Laura A Trueman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174987333 PECOS PAC ID: 9537459110 Enrollment ID: I20191030001084 |
| Provider Name | Heather Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699146837 PECOS PAC ID: 6800221706 Enrollment ID: I20200123001509 |
| Provider Name | Julianna Brody-fialkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053712323 PECOS PAC ID: 8921437120 Enrollment ID: I20200409002809 |
| Provider Name | Alyssa Levin Scherz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003345919 PECOS PAC ID: 0547533739 Enrollment ID: I20201222001926 |
| Provider Name | Esther H Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104335702 PECOS PAC ID: 8921496084 Enrollment ID: I20211022002062 |
| Provider Name | Rohini Rau-murthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346744349 PECOS PAC ID: 1759631112 Enrollment ID: I20211110000151 |
| Provider Name | Sidney Perez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619635950 PECOS PAC ID: 5991196370 Enrollment ID: I20211217001993 |
| Provider Name | Dominique Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699493973 PECOS PAC ID: 9436523453 Enrollment ID: I20230314002754 |
| Provider Name | Christian Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700502747 PECOS PAC ID: 4183099971 Enrollment ID: I20230410000659 |
| Provider Name | Christine Kumar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508580143 PECOS PAC ID: 1557726023 Enrollment ID: I20230505001328 |
| Provider Name | Chau Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194423616 PECOS PAC ID: 9931561610 Enrollment ID: I20230811001602 |
| Provider Name | Anuka Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194480 PECOS PAC ID: 4587990981 Enrollment ID: I20230912001369 |
| Provider Name | Gerianne P Connell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902434905 PECOS PAC ID: 6204255086 Enrollment ID: I20230920003802 |
| Provider Name | Wesley A Spacht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629638051 PECOS PAC ID: 4082949607 Enrollment ID: I20240229002775 |
| Provider Name | Tara Bylsma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088502 PECOS PAC ID: 5092063982 Enrollment ID: I20240229002960 |
| Provider Name | Yleis Engerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467823427 PECOS PAC ID: 4183063845 Enrollment ID: I20240415003520 |
| Provider Name | Tiana Benton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205449519 PECOS PAC ID: 8921447046 Enrollment ID: I20240422001862 |
| Provider Name | Kathleen Monahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982790804 PECOS PAC ID: 7517306657 Enrollment ID: I20240422002535 |
| Provider Name | Yuliya Baryla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235414673 PECOS PAC ID: 9830538891 Enrollment ID: I20240423004332 |
| Provider Name | Huy Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255391355 PECOS PAC ID: 4981918075 Enrollment ID: I20240529003031 |
Onlyou Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Gallivan Blvd, Dorchester, MA 02124 Phone: 617-533-7675 | |
Bowdoin Street Health Ceneter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Bowdoin St, Dorchester, MA 02122 Phone: 617-754-0100 Fax: 617-754-0230 | |
Dorchester House Multi Service Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-740-2303 Fax: 617-740-2563 | |
Primary Care Clinic Boston Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave Bldg Suite314, Dorchester, MA 02124 Phone: 617-296-0720 Fax: 617-296-5166 | |
One Health Stroke Awareness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Park St, Dorchester, MA 02124 Phone: 857-237-9886 | |
Priority Professional Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Neponset Ave, Dorchester, MA 02122 Phone: 617-368-0820 Fax: 857-598-4816 | |
Codman Square Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 637 Washington Street, Dorchester, MA 02124 Phone: 617-825-9660 Fax: 617-288-7898 |