| Personal Health Md Llc | |
|
137 Newbury St 6th Floor Boston MA 02116-2941 | |
| (617) 585-1500 | |
| (617) 585-1515 |
| Full Name | Personal Health Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 137 Newbury St, Boston, Massachusetts |
| Authorized Official Name and Position | Richard J. Donahue (PRESIDENT) |
| Authorized Official Contact | 5085851500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Health Md Llc 137 Newbury St 6th Floor Boston MA 02116-2941 Ph: (617) 585-1500 | Personal Health Md Llc 137 Newbury St 6th Floor Boston MA 02116-2941 Ph: (617) 585-1500 |
| NPI Number | 1528369600 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 06/23/2011 |
| Medicare PECOS PAC ID | 6709064116 |
|---|---|
| Medicare Enrollment ID | O20110706000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528369600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 226755 (Massachusetts) | Primary |
| Provider Name | Richard Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194838086 PECOS PAC ID: 6800705310 Enrollment ID: I20060113000553 |
| Provider Name | Jay R Luthar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124552567 PECOS PAC ID: 6709156540 Enrollment ID: I20210115000161 |
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