| Dr Aaron Richard Dezube, MD | |
| 11 Nevins St, Suite 201, Brighton, MA 02135 | |
| (617) 789-2442 | |
| (617) 202-4349 | 
| Full Name | Dr Aaron Richard Dezube | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 11 Nevins St, Brighton, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093166779 | NPI | - | NPPES | 
| 110150149A | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 279657 (Massachusetts) | Primary | 
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MT233245 (Pennsylvania) | Secondary | 
| Entity Name | Bmc Affiliated Physicians, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 | 
| Entity Name | Steward Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Aaron Richard Dezube, MD 960 Massachusetts Avenue, Fl 2, Brighton, MA 02118-2690 Ph: () - | Dr Aaron Richard Dezube, MD 11 Nevins St, Suite 201, Brighton, MA 02135 Ph: (617) 789-2442 | 
| Zahra Alhajji,  Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambirdge St, Brighton, MA 02135 Phone: 617-789-2990 Fax: 617-789-3419 | |
| Oseogie Okojie, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2777 | |
| Dr. Maria Arshanskiy, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2990 | |
| Marvin J Lopez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Ste 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-789-4207 | |
| Dr. Edward Michael Dussom, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-3000 | |
| Grace Lassiter, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2000 |