Iora Health Massachusetts, P.c. | |
287 Middlesex Ave Medford MA 02155-5056 | |
(781) 222-3033 | |
(781) 281-9927 |
Full Name | Iora Health Massachusetts, P.c. |
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Speciality | Internal Medicine |
Location | 287 Middlesex Ave, Medford, Massachusetts |
Authorized Official Name and Position | Rushika Fernandopulle (PRESIDENT) |
Authorized Official Contact | 6178045981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iora Health Massachusetts, P.c. 101 Tremont St Fl 6 Boston MA 02108-5004 Ph: (617) 804-5891 | Iora Health Massachusetts, P.c. 287 Middlesex Ave Medford MA 02155-5056 Ph: (781) 222-3033 |
NPI Number | 1255842936 |
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Provider Enumeration Date | 10/20/2017 |
Last Update Date | 10/20/2017 |
Medicare PECOS PAC ID | 9638435035 |
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Medicare Enrollment ID | O20171116002743 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255842936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sharon A Mahoney |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205974722 PECOS PAC ID: 8628096872 Enrollment ID: I20051105000208 |
Provider Name | Andrew S Flewwelling |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396717468 PECOS PAC ID: 2769476100 Enrollment ID: I20060216000050 |
Provider Name | Jane W Craig |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952461402 PECOS PAC ID: 0648364505 Enrollment ID: I20070922000042 |
Provider Name | Kalpna Thuraisamy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245315290 PECOS PAC ID: 0648290361 Enrollment ID: I20100524000037 |
Provider Name | Halary Patch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255631248 PECOS PAC ID: 0840461018 Enrollment ID: I20110920000109 |
Provider Name | Matthew S Favazza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699114512 PECOS PAC ID: 0547403040 Enrollment ID: I20130903000301 |
Provider Name | Mary- Amanda W O'neill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548550882 PECOS PAC ID: 2466773247 Enrollment ID: I20151211000876 |
Provider Name | David Gellis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548580368 PECOS PAC ID: 2163795287 Enrollment ID: I20171219000825 |
Provider Name | Leah Christine Coburn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962978957 PECOS PAC ID: 5991049397 Enrollment ID: I20181211002023 |
Provider Name | Pei-chun Mcgregor |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20230307000597 |
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