| Dr John J Kadzielski, MD | |
|
300 Congress St Ste 304, Quincy, MA 02169-0907 | |
| (617) 773-2200 | |
| (617) 773-2202 |
| Full Name | Dr John J Kadzielski |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Hand Surgery |
| Location | 300 Congress St Ste 304, Quincy, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053448498 | NPI | - | NPPES |
| 110088698A | Medicaid | MA | |
| 1053448498 | Other | BLUE CROSS BLUE SHIELD | |
| 479451 | Other | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 239683 (Massachusetts) | Primary |
| 207X00000X | Orthopaedic Surgery | L-228167 (Massachusetts) | Secondary |
| Entity Name | South Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
| Entity Name | South Shore Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720285018 PECOS PAC ID: 7517057284 Enrollment ID: O20080211000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John J Kadzielski, MD 300 Congress St Ste 304, Quincy, MA 02169-0907 Ph: (617) 773-2200 | Dr John J Kadzielski, MD 300 Congress St Ste 304, Quincy, MA 02169-0907 Ph: (617) 773-2200 |
Peter Dewire, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 54 Miller St, 4th Floor, Quincy, MA 02169 Phone: 617-376-2017 Fax: 617-376-2043 | |
Edwin G Singsen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Crown Colony Dr, Quincy, MA 02169 Phone: 617-509-1118 | |
Mohan Karisankappa Puttaswamy, MBBS Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 95 W Squantum St, 111, Archstone Quincy, Quincy, MA 02171 Phone: 716-598-5664 | |
Charles Anthony Dicecca, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Congress Street, Suite308, Quincy, MA 02169 Phone: 617-773-7457 Fax: 617-773-0299 | |
William Walsh, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 Enterprise Dr, Quincy, MA 02171 Phone: 617-246-4418 | |
Marvin Rosen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Congress Street, Suite 308, Quincy, MA 02169 Phone: 617-773-7457 Fax: 617-773-0299 |