| Maura K Shea, MD | |
|
105 Commercial St, Malden, MA 02148-5509 | |
| (781) 322-5101 | |
| (781) 322-5820 |
| Full Name | Maura K Shea |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 105 Commercial St, Malden, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750320743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 210745 (Massachusetts) | Primary |
| Entity Name | Pediatric Associates Of Greater Salem Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191125 PECOS PAC ID: 4284648270 Enrollment ID: O20060130000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Maura K Shea, MD 105 Commercial St, Malden, MA 02148-5509 Ph: (781) 322-5101 | Maura K Shea, MD 105 Commercial St, Malden, MA 02148-5509 Ph: (781) 322-5101 |
Dr. Manorama Mathur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1127 Salem St, Malden, MA 02148 Phone: 781-324-6192 Fax: 781-324-2930 | |
Dr. Tien-lan Chang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 Fax: 781-322-5820 | |
Ms. Ingrid Y Henar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: South Cove Community Center, 277 Commercial Street, Malden, MA 02148 Phone: 617-253-1505 | |
Dr. Austin Shih-yih Liu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 | |
Dr. Rosalinda J Ott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Commercial St, Malden, MA 02148 Phone: 781-322-5101 Fax: 781-322-5820 | |
Mrs. Mengqi Zhang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 277 Commercial St, Malden, MA 02148 Phone: 207-344-4110 |