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 | 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 |