| Hussien M Farrag, MD | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (508) 941-7000 | |
| Not Available |
| Full Name | Hussien M Farrag |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 680 Centre St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811070923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 76111 (Massachusetts) | Primary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036-144594 (Illinois) | Secondary |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Mailing Address | Practice Location Address |
|---|---|
| Hussien M Farrag, MD Po Box 1567, Rockford, IL 61110-0067 Ph: () - | Hussien M Farrag, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 |
Madeleine Mbuyamba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649 | |
Alan B Bulotsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332 | |
Dr. Kyle Deerwester, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7580 Fax: 508-941-6268 | |
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618 | |
Dr. Venkata S H Kalyan Sridhara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Dr. Howard H Kay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 65 Libby St, Brockton, MA 02302 Phone: 508-584-6060 Fax: 508-584-4949 |