| Dr Dustin Lee Cotliar, MD | |
|
983 Boston-providence Turnpike, Dedham, MA 02026 | |
| (781) 819-6400 | |
| (339) 234-6921 |
| Full Name | Dr Dustin Lee Cotliar |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 983 Boston-providence Turnpike, Dedham, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649665233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 322459 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | 273956 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Health Express Inc | 6406108836 | 32 |
| Entity Name | South Shore Health Express Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477044212 PECOS PAC ID: 6406108836 Enrollment ID: O20181115000152 |
| Entity Name | Convenientmd - Ffs Uc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790528628 PECOS PAC ID: 5193186492 Enrollment ID: O20230921002173 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dustin Lee Cotliar, MD 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700 | Dr Dustin Lee Cotliar, MD 983 Boston-providence Turnpike, Dedham, MA 02026 Ph: (781) 819-6400 |
Andrew H Koslow, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 370 Providence Hwy, Dedham, MA 02026 Phone: 781-461-0200 | |
Dimitrios Dimitropoulos, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 202 Sanderson Ave, Dedham, MA 02026 Phone: 781-329-8127 | |
Ms. Kimberly Schoen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 370 Providence Hwy, Dedham, MA 02026 Phone: 781-461-0200 |