| James C Ku, MD | |
|
300 Mount Auburn St, Suite 519, Cambridge, MA 02138-5600 | |
| (617) 547-4400 | |
| (617) 576-1076 |
| Full Name | James C Ku |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 300 Mount Auburn St, Cambridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730188038 | NPI | - | NPPES |
| 3201121 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 159177 (Massachusetts) | Primary |
| Entity Name | Massachusetts Institute Of Technology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346308723 PECOS PAC ID: 5597658666 Enrollment ID: O20040203000789 |
| Entity Name | Mt Auburn Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
| Mailing Address | Practice Location Address |
|---|---|
| James C Ku, MD 300 Mount Auburn St, Suite 519, Cambridge, MA 02138-5600 Ph: (617) 547-4400 | James C Ku, MD 300 Mount Auburn St, Suite 519, Cambridge, MA 02138-5600 Ph: (617) 547-4400 |
Roderick H Crocker Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Ste 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 | |
Dr. Maria Alexandra Ordonez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-2555 | |
Louis S Liou, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-3590 | |
Paul D Lafontaine, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Mount Auburn St, Ste 519, Cambridge, MA 02138 Phone: 617-547-4400 Fax: 617-576-1076 |