| Janet L Antonioni, MD | |
| 465 Waverley Oaks Rd, Suite 100, Waltham, MA 02452-8448 | |
| (781) 891-3706 | |
| (781) 891-3564 | 
| Full Name | Janet L Antonioni | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Adolescent Medicine | 
| Location | 465 Waverley Oaks Rd, Waltham, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477506855 | NPI | - | NPPES | 
| 110056436A | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 81729 (Massachusetts) | Primary | 
| 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 | 
|---|---|
| Janet L Antonioni, MD 465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8484 Ph: (781) 891-3706 | Janet L Antonioni, MD 465 Waverley Oaks Rd, Suite 100, Waltham, MA 02452-8448 Ph: (781) 891-3706 | 
| Dr. Robert D Fusunyan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 2nd Avenue, Suite 340, Waltham, MA 02451 Phone: 781-466-8967 Fax: 781-466-8987 | |
| Dr. Beth Ann Mccabe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 2nd Ave, Suite 400, Waltham, MA 02451 Phone: 781-522-9000 Fax: 617-735-9098 | |
| Cynthia Sacco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Winter St, Waltham, MA 02451 Phone: 781-419-2709 | |
| Myron B Peterson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Cato Ltd., 1100 Winter Street, Waltham, MA 02451 Phone: 617-484-2297 | |
| Dr. Peter Tebet Greenspan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40 2nd Ave, Mass General West Medical Group Ste 400, Waltham, MA 02451 Phone: 781-487-4340 Fax: 781-487-4341 | |
| Dr. Sarah Pritchett Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40 2nd Ave Ste 400, Waltham, MA 02451 Phone: 781-487-4340 | |
| James I Goldston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42 Weston St Ste 2a, Waltham, MA 02453 Phone: 781-747-8480 Fax: 949-577-4121 |