Dr Evan Andrew Soderstrom, MD | |
14 Prospect St, Milford, MA 01757-3003 | |
(508) 422-2305 | |
Not Available |
Full Name | Dr Evan Andrew Soderstrom |
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Gender | Male |
Speciality | Hospitalist |
Location | 14 Prospect St, Milford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205800430 | NPI | - | NPPES |
022522 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 238963 (Massachusetts) | Primary |
Entity Name | Milford Regional Physician Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902856024 PECOS PAC ID: 5597679449 Enrollment ID: O20040503001341 |
Mailing Address | Practice Location Address |
---|---|
Dr Evan Andrew Soderstrom, MD 14 Prospect St, Milford, MA 01757-3003 Ph: (508) 422-2305 | Dr Evan Andrew Soderstrom, MD 14 Prospect St, Milford, MA 01757-3003 Ph: (508) 422-2305 |
Bennett Peterson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 14 Prospect St, Milford, MA 01757 Phone: 508-473-1190 | |
Dr. Raafat Awad Mousad, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 14 Prospect St, Milford, MA 01757 Phone: 508-473-1190 Fax: 508-482-5416 | |
Michael N Jolie, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 14 Prospect St, Milford, MA 01757 Phone: 508-473-1190 Fax: 508-482-5416 |