| West Suburban Gi Pc | |
|
28 Newton St Southborough MA 01772-1215 | |
| (508) 281-0600 | |
| Not Available |
| Full Name | West Suburban Gi Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 28 Newton St, Southborough, Massachusetts |
| Authorized Official Name and Position | Michael O'sullivan (BUSINESS MANAGER) |
| Authorized Official Contact | 6034962895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Gi Pc 28 Newton St Southborough MA 01772-1215 Ph: (508) 281-0600 | West Suburban Gi Pc 28 Newton St Southborough MA 01772-1215 Ph: (508) 281-0600 |
| NPI Number | 1760057319 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 6901207406 |
|---|---|
| Medicare Enrollment ID | O20210622000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760057319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Provider Name | Daniel G Donahue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790888360 PECOS PAC ID: 5597704197 Enrollment ID: I20050503000030 |
| Provider Name | Dmitry Finkelberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134326218 PECOS PAC ID: 8224162409 Enrollment ID: I20100811000020 |
Trinity Healthcare Partners, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Turnpike Rd Ste 150, Southborough, MA 01772 Phone: 603-630-9023 | |
Southboro Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-481-5500 Fax: 508-460-3025 |