| Leonid Kotkin, MD | |
|
280 Washington St, Ste. 207, Brighton, MA 02135-3511 | |
| (617) 783-8875 | |
| (617) 782-3367 |
| Full Name | Leonid Kotkin |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 280 Washington St, Brighton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326035825 | NPI | - | NPPES |
| 3159345 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 151270 (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 |
|---|---|
| Leonid Kotkin, MD 340 Main St, Suite 670, Worcester, MA 01608-1604 Ph: (508) 754-3566 | Leonid Kotkin, MD 280 Washington St, Ste. 207, Brighton, MA 02135-3511 Ph: (617) 783-8875 |
Ingolf Tuerk, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Ste 303, Brighton, MA 02135 Phone: 617-787-8181 Fax: 617-787-4644 | |
Aleksander Chudnovsky, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St, Suite 303, Brighton, MA 02135 Phone: 617-787-8181 | |
Mahziar Khazaali, Urology Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St Ste 303, Brighton, MA 02135 Phone: 617-787-8181 Fax: 617-787-4644 | |
Persis Oneeka Williams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St, Suite 303, Brighton, MA 02135 Phone: 617-787-8181 Fax: 617-787-4644 | |
Alexander W.y. Pang, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 11 Nevins St, Suite 303, Brighton, MA 02135 Phone: 617-787-8181 Fax: 617-787-4644 | |
Farshid Alizadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St Ste 303, Brighton, MA 02135 Phone: 617-789-8181 |