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 |
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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 |
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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 |
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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 |
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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: Not Enrolled in Medicare 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 |