| Amory De Roulet, | |
| 
					55 Fruit St, Boston, MA 02114-2696  | |
| (617) 726-2000 | |
| Not Available | 
| Full Name | Amory De Roulet | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 55 Fruit St, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477085207 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 291548 (Massachusetts) | Primary | 
| Entity Name | Massachusetts General Physicians Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434  | 
| Entity Name | Southcoast Physicians Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138  | 
| Entity Name | The General Hospital Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amory De Roulet, 5645 Main St, Flushing, NY 11355-5045 Ph: () -  | Amory De Roulet, 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 726-2000  | 
Hugh G Auchincloss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2000  | |
Nicole J Look-hong, MD, MSC Surgery Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-724-3868  | |
Dr. Joanna Wolf Etra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Francis St Ste 9b, Boston, MA 02215 Phone: 617-632-9513  | |
Huseyin Akin Erol, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500  | |
Michael Tarnoff, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Nemc Box 7105, Boston, MA 02111 Phone: 617-636-5000  | |
Parsia A Vagefi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066  | |
Wael Abdullah Alshehri, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 Washington St, Box 836, Boston, MA 02111 Phone: 617-636-1619  |