| Jared Fialkoff, | |
| 145 Rosemary St Ste C1, Needham, MA 02494-3259 | |
| (781) 433-2110 | |
| Not Available | 
| Full Name | Jared Fialkoff | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 145 Rosemary St Ste C1, Needham, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215494927 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 1017523 (Massachusetts) | Primary | 
| 208800000X | Urology | 036158482 (Illinois) | Secondary | 
| 208800000X | Urology | 125073537 (Illinois) | Secondary | 
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902316136 PECOS PAC ID: 6305749987 Enrollment ID: O20171116001335 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jared Fialkoff, 145 Rosemary St Ste C1, Needham, MA 02494-3259 Ph: (781) 433-2110 | Jared Fialkoff, 145 Rosemary St Ste C1, Needham, MA 02494-3259 Ph: (781) 433-2110 | 
| Joseph Michael Ciccone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 West St, Needham, MA 02494 Phone: 781-433-2110 Fax: 781-433-2117 | |
| Justin M Zbrzezny, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 West St, Needham, MA 02494 Phone: 781-433-2110 Fax: 781-433-2117 | |
| Paul Allan Church, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 100 West St, Needham, MA 02494 Phone: 781-433-2110 Fax: 781-433-2117 |