Hebrew Seniorlife Affiliated Medical Group Inc | |
1200 Centre St Roslindale MA 02131-1000 | |
(617) 971-5766 | |
(617) 363-8913 |
Full Name | Hebrew Seniorlife Affiliated Medical Group Inc |
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Speciality | Internal Medicine |
Location | 1200 Centre St, Roslindale, Massachusetts |
Authorized Official Name and Position | Lise Paul (VP REIMBURSEMENT) |
Authorized Official Contact | 6179715766 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hebrew Seniorlife Affiliated Medical Group Inc 1200 Centre St Roslindale MA 02131-1000 Ph: (617) 971-5766 | Hebrew Seniorlife Affiliated Medical Group Inc 1200 Centre St Roslindale MA 02131-1000 Ph: (617) 971-5766 |
NPI Number | 1477069391 |
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Provider Enumeration Date | 12/15/2017 |
Last Update Date | 02/28/2018 |
Medicare PECOS PAC ID | 2062774177 |
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Medicare Enrollment ID | O20180328002953 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477069391 | NPI | - | NPPES |
Provider Name | Aba D Ewusi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205847506 PECOS PAC ID: 8820053010 Enrollment ID: I20041130000421 |
Provider Name | Macie Finkelstein |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114959640 PECOS PAC ID: 4183662406 Enrollment ID: I20050418001328 |
Provider Name | Douglas P Kiel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184654717 PECOS PAC ID: 8426090986 Enrollment ID: I20050525000020 |
Provider Name | James L Rosenzweig |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295751493 PECOS PAC ID: 2163465964 Enrollment ID: I20050602000788 |
Provider Name | Mark C Kuperwaser |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083790851 PECOS PAC ID: 8921026170 Enrollment ID: I20051105000260 |
Provider Name | Jonathan D Kaplan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053491696 PECOS PAC ID: 6901814714 Enrollment ID: I20060404000776 |
Provider Name | Harvey W Fritz |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1669501474 PECOS PAC ID: 1850300252 Enrollment ID: I20060412000623 |
Provider Name | Soumya Chandrasekaran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942484431 PECOS PAC ID: 1850468216 Enrollment ID: I20080926000298 |
Provider Name | Alvaro Pascual Leone |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073591228 PECOS PAC ID: 2062579766 Enrollment ID: I20090325000239 |
Provider Name | Susan Mitchell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205949617 PECOS PAC ID: 7719166388 Enrollment ID: I20110128000030 |
Provider Name | Finnian R Mccausland |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1629206214 PECOS PAC ID: 1052578481 Enrollment ID: I20120712000762 |
Provider Name | Martina M Mcgrath |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1679701270 PECOS PAC ID: 1456518893 Enrollment ID: I20120712000836 |
Provider Name | Adina S Voiculescu |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1366761348 PECOS PAC ID: 0143488429 Enrollment ID: I20121009000389 |
Provider Name | Stephen E Gordon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609009711 PECOS PAC ID: 4880832096 Enrollment ID: I20130530000107 |
Provider Name | Lea Borgi |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1346576840 PECOS PAC ID: 8820243512 Enrollment ID: I20140714000140 |
Provider Name | Michael L. Smookler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891820049 PECOS PAC ID: 0345531729 Enrollment ID: I20160614002446 |
Provider Name | Matthew Cohen |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1497192256 PECOS PAC ID: 7214223825 Enrollment ID: I20160908000631 |
Provider Name | Kate T. Brizzi |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1659664373 PECOS PAC ID: 7517129208 Enrollment ID: I20170607000793 |
Provider Name | Sandra Shi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023421088 PECOS PAC ID: 7517183197 Enrollment ID: I20180726002509 |
Provider Name | Alon Neidich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417369406 PECOS PAC ID: 2163726738 Enrollment ID: I20190517000121 |
Provider Name | Grace F Crotty |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295148237 PECOS PAC ID: 8921316159 Enrollment ID: I20200527001875 |
Provider Name | Michael M Jonczyk |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285084384 PECOS PAC ID: 6901192772 Enrollment ID: I20200910001949 |
Provider Name | Karen Chahal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477083749 PECOS PAC ID: 8022380401 Enrollment ID: I20220506001956 |
Provider Name | Brooke L Lubinski |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1265926984 PECOS PAC ID: 7214285501 Enrollment ID: I20220708000426 |
Provider Name | Chelsea N. Wong |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1699269332 PECOS PAC ID: 1153679444 Enrollment ID: I20220906001212 |
Mendes Medical Assoc. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Belgade Ave, Roslindale, MA 02131 Phone: 617-327-7465 Fax: 617-363-9993 | |
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Melissa Landry Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Fairview St # 1, Roslindale, MA 02131 Phone: 617-842-4118 |