| Elizardo P Carandang, MD | |
|
354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | |
| (978) 687-2321 | |
| (978) 722-7287 |
| Full Name | Elizardo P Carandang |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 354 Merrimack St Ste 1, Lawrence, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477546224 | NPI | - | NPPES |
| 715266 | Other | MA | THP |
| 23582 | Other | MA | FCHP |
| 0003754 | Other | MA | NHP |
| 80714 | Other | MA | HPHC |
| 0102641Y0MA01 | Other | NH | ANTHEM |
| 1483069001 | Other | MA | CIGNA |
| 4390633 | Other | MA | AETNA |
| J03232 | Other | MA | BCBSMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 52974 (Massachusetts) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 6895 (New Hampshire) | Secondary |
| Entity Name | Nrhn Rehab Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831436633 PECOS PAC ID: 2466687165 Enrollment ID: O20131106000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizardo P Carandang, MD 354 Merrimack St, Lawrence, MA 01843-1754 Ph: (978) 687-2321 | Elizardo P Carandang, MD 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 Ph: (978) 687-2321 |
Dr. Srirangam Padmanabhan, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 354 Merrimack St, Lawrence, MA 01843 Phone: 978-687-2321 Fax: 978-685-7265 | |
Thomas P Cody, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 354 Merrimack St, Lawrence, MA 01843 Phone: 978-687-2321 Fax: 978-722-7287 |