| Adriana I Gordon De Jesus, | |
| 41 Highland Ave, Winchester, MA 01890-1446 | |
| (781) 729-9000 | |
| Not Available | 
| Full Name | Adriana I Gordon De Jesus | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 41 Highland Ave, Winchester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669024592 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 15447 (Puerto Rico) | Secondary | 
| 208000000X | Pediatrics | 22458 (Puerto Rico) | Secondary | 
| 208000000X | Pediatrics | 1019371 (Massachusetts) | Primary | 
| Entity Name | Children's Hospital Pediatric Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Adriana I Gordon De Jesus, 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Adriana I Gordon De Jesus, 41 Highland Ave, Winchester, MA 01890-1446 Ph: (781) 729-9000 | 
| Aimee Calista Knorr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 41 Highland Ave, Winchester Hospital, Winchester, MA 01890 Phone: 781-756-2240 Fax: 781-756-2965 | |
| Dr. Laura Christina Vitale, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 955 Main St, Ste 103, Winchester, MA 01890 Phone: 617-359-5052 Fax: 781-729-0692 | |
| Dr. Elizabeth G Doherty, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 41 Highland Ave, Winchester, MA 01890 Phone: 781-756-2240 | |
| Nancy Weinschenk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 41 Highland Ave, Winchester, MA 01890 Phone: 781-756-2240 | |
| Dr. Scott Gwon Schluter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 955 Main St, Pediatricians Inc, Winchester, MA 01890 Phone: 781-729-4262 Fax: 781-729-0692 | |
| Courtney Debra Tolliday, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 41 Highland Ave, Winchester, MA 01890 Phone: 781-729-9000 | |
| Dr. Emily Suther, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 955 Main St Ste 106, Winchester, MA 01890 Phone: 781-729-4262 Fax: 781-729-0692 |