| Dr Karen Elline Newbold, MD | |
|
40 Holland St, Somerville, MA 02144-2705 | |
| (617) 629-6300 | |
| (617) 629-6090 |
| Full Name | Dr Karen Elline Newbold |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 40 Holland St, Somerville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548268360 | NPI | - | NPPES |
| 2102030 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 224263 (Massachusetts) | Primary |
| Entity Name | Mt Auburn Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karen Elline Newbold, MD 40 Holland St, Somerville, MA 02144-2705 Ph: (617) 629-6300 | Dr Karen Elline Newbold, MD 40 Holland St, Somerville, MA 02144-2705 Ph: (617) 629-6300 |
Divya Vangala, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 33 Tower St, Somerville, MA 02143 Phone: 617-591-6300 | |
Natalie Diacovo, Pediatrics Medicare: Medicare Enrolled Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-591-4440 | |
Dr. Marcia F Dworkind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6300 Fax: 617-629-6090 | |
Dr. Dawn Marie Peters, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6300 Fax: 617-629-6090 | |
Benjamin A Kruskal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 Fax: 617-629-6070 | |
Carole E Allen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 Fax: 617-629-6070 | |
Dr. Andrew M. Cox, Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 |