| Maryrose Kline, | |
|
520 Dudley St Fl 2, Roxbury, MA 02119-2769 | |
| (617) 989-9499 | |
| Not Available |
| Full Name | Maryrose Kline |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 520 Dudley St Fl 2, Roxbury, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881162873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryrose Kline, 520 Dudley St Fl 2, Roxbury, MA 02119-2769 Ph: (617) 989-9499 | Maryrose Kline, 520 Dudley St Fl 2, Roxbury, MA 02119-2769 Ph: (617) 989-9499 |
Theresa Renee Albert-dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 214a Highland St, Roxbury, MA 02119 Phone: 617-541-0454 Fax: 617-541-0454 | |
Ms. Denita Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley Street, Roxbury, MA 02119 Phone: 857-526-1116 | |
Marisa Medeiros Dasilva, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 978-505-6286 | |
Douglas Benton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-602-7869 Fax: 617-541-8178 | |
Uju Ilechukwu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-989-9499 | |
Ruoyu Chen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-445-6655 | |
Mr. Benley Stevenson Thompson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1960 Washington St, Roxbury, MA 02118 Phone: 617-516-0280 Fax: 617-516-0281 |