| Benjamin A Kruskal, MD | |
|
40 Holland St, Somerville, MA 02144-2705 | |
| (617) 629-6000 | |
| (617) 629-6070 |
| Full Name | Benjamin A Kruskal |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 40 Holland St, Somerville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245218353 | NPI | - | NPPES |
| B10462303 | Other | MA | CIGNA |
| PP825 | Other | MA | HARVARD PILGRIM |
| 0003938 | Other | MA | NEIGHBORHOOD HEALTH |
| 071820 | Other | MA | TUFTS |
| J09980 | Other | MA | BLUE CROSS |
| 3065421 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 71820 (Massachusetts) | Primary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 71820 (Massachusetts) | Secondary |
| Entity Name | Atrius Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin A Kruskal, MD 40 Holland St, Somerville, MA 02144-2705 Ph: (617) 629-6000 | Benjamin A Kruskal, MD 40 Holland St, Somerville, MA 02144-2705 Ph: (617) 629-6000 |
Divya Vangala, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 33 Tower St, Somerville, MA 02143 Phone: 617-591-6300 | |
Natalie Diacovo, Pediatrics Medicare: Medicare Enrolled Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-591-4440 | |
Dr. Marcia F Dworkind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6300 Fax: 617-629-6090 | |
Dr. Dawn Marie Peters, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6300 Fax: 617-629-6090 | |
Carole E Allen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 Fax: 617-629-6070 | |
Dr. Andrew M. Cox, Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 |