| Gunardi Nyoto Irawan, MD | |
|
162 Main St, Northborough, MA 01532-1930 | |
| (508) 393-1307 | |
| (508) 393-2824 |
| Full Name | Gunardi Nyoto Irawan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 162 Main St, Northborough, 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 |
|---|---|---|---|
| 1053752832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 269613 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umass Memorial Healthcare-marlborough Hospital | Marlborough, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charles River Medical Associates, Pc | 3476630450 | 110 |
| Entity Name | Charles River Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598215204 PECOS PAC ID: 3476630450 Enrollment ID: O20161122000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Gunardi Nyoto Irawan, MD 171 Main St Ste 203b, Ashland, MA 01721-1187 Ph: (508) 881-3029 | Gunardi Nyoto Irawan, MD 162 Main St, Northborough, MA 01532-1930 Ph: (508) 393-1307 |
Dr. David S Hatem, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 223 Howard St, Northborough, MA 01532 Phone: 774-258-1150 | |
Dr. Bryan Matthew Mcguirk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Sw Cutoff, Northborough, MA 01532 Phone: 774-570-5000 Fax: 774-570-5050 | |
Farhan Ibrahimi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10,010 K Shops Way, Northborough, MA 01532 Phone: 508-936-3866 | |
Stacia Remsburg Sailer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Sw Cutoff, Northborough, MA 01532 Phone: 774-570-5000 Fax: 774-570-5050 | |
Dr. Connie R Drexler, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 112 Main St, Suite 108, Northborough, MA 01532 Phone: 508-393-9503 | |
Mark Benjamin Davidson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Main St, Northborough, MA 01532 Phone: 508-393-9503 Fax: 508-393-9670 |