| Daneil Copertino Kuftinec, MD | |
|
131 Ornac Ste 740, Lahey Clinic Urological Instit, Concord, MA 01742-4162 | |
| (978) 369-5551 | |
| (978) 369-1580 |
| Full Name | Daneil Copertino Kuftinec |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 131 Ornac Ste 740, Concord, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801081609 | NPI | - | NPPES |
| 110084414A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 242407 (Massachusetts) | Primary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | Beth Israel Lahey Health Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568292423 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Daneil Copertino Kuftinec, MD 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 Ph: (781) 744-8000 | Daneil Copertino Kuftinec, MD 131 Ornac Ste 740, Lahey Clinic Urological Instit, Concord, MA 01742-4162 Ph: (978) 369-5551 |
Joyce Chen, Urology Medicare: May Accept Medicare Assignments Practice Location: 131 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1400 | |
Stephen B Schloss, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac, Suite 740/50, Concord, MA 01742 Phone: 978-369-5551 Fax: 978-369-1580 |