| Dr Henry Su, MD, PHD | |
|
55 Fogg Rd, South Weymouth, MA 02190-2432 | |
| (781) 340-8000 | |
| Not Available |
| Full Name | Dr Henry Su |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 55 Fogg Rd, South Weymouth, 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 |
|---|---|---|---|
| 1639141575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 227915 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 224413 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor Medical Associates Inc | 2466356209 | 210 |
| South Shore Radiological Associates Inc | 6507838810 | 36 |
| South Shore Radiological Associates Inc | 6507838810 | 36 |
| Entity Name | Harbor Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079561 PECOS PAC ID: 2466356209 Enrollment ID: O20040719000954 |
| Entity Name | South Shore Radiological Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518984319 PECOS PAC ID: 6507838810 Enrollment ID: O20040809000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry Su, MD, PHD 1723 Washington St, 502, Boston, MA 02118-1820 Ph: () - | Dr Henry Su, MD, PHD 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8000 |
William Davenport Powlis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Columbian St, Radiation Oncology, South Weymouth, MA 02190 Phone: 781-624-4700 Fax: 781-624-4710 | |
James N Suojanen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
Sana Majid, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8000 | |
Robert L Gore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
Dr. Nathaniel N Temin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8493 | |
Russell Kelley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
Dr. Rafael Antonio Altieri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-344-8000 |