| Dr Mary Aldrene Tan, MD | |
|
15 Crawford St Ste 100, Needham, MA 02494-2618 | |
| (617) 969-4100 | |
| (617) 969-3393 |
| Full Name | Dr Mary Aldrene Tan |
|---|---|
| Gender | Female |
| Speciality | Pathology - Dermatopathology |
| Location | 15 Crawford St Ste 100, Needham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255510194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 238301-1 (New York) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 238301-1 (New York) | Primary |
| Entity Name | Metroplex Pathology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942223029 PECOS PAC ID: 9638077340 Enrollment ID: O20100329000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Aldrene Tan, MD Po Box 840294, Dallas, TX 75284-0294 Ph: (888) 344-1160 | Dr Mary Aldrene Tan, MD 15 Crawford St Ste 100, Needham, MA 02494-2618 Ph: (617) 969-4100 |
Alejandro Peralta Soler, MD Pathology Medicare: Medicare Enrolled Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 | |
Dr. Tanya Arvind Rege, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 Fax: 617-969-3393 | |
Mahmoud Goodarzi, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 | |
Joseph C. Bergeron, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 152 2nd Ave, Needham, MA 02494 Phone: 781-292-7260 Fax: 781-292-7260 | |
Gilbert L. Brodsky, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 152 2nd Ave, Needham, MA 02494 Phone: 781-292-7260 Fax: 781-292-7270 | |
Hedieh Honarpisheh, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 |