| Ivy Sang Co, DO | |
|
41 Mall Rd, Burlington, MA 01805-5612 | |
| (781) 744-8000 | |
| Not Available |
| Full Name | Ivy Sang Co |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 41 Mall Rd, Burlington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477058444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 34.016535 (Ohio) | Secondary |
| 207L00000X | Anesthesiology | 1020219 (Massachusetts) | Primary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Sang Co, DO Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001 Ph: () - | Ivy Sang Co, DO 41 Mall Rd, Burlington, MA 01805-5612 Ph: (781) 744-8000 |
Michael N Andrawes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Hollie Matlin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Ewan M Cameron, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273 | |
Kelly Kalagher, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-7989 | |
Maureen E Mcgann, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Robert Srapyan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8737 | |
Lori B Sheehan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8132 Fax: 781-744-2273 |