| Ms Carolyn Rundquist, MD | |
| 640 Centre St, Jamaica Plain, MA 02130-2555 | |
| (617) 983-4103 | |
| (617) 971-9521 | 
| Full Name | Ms Carolyn Rundquist | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 640 Centre St, Jamaica Plain, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710973565 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | G87364 (California) | Primary | 
| Entity Name | Brigham & Womens Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 | 
| Entity Name | Brigham & Womens Physicians Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Carolyn Rundquist, MD 640 Centre Street, Jamaica Plain, MA 02130 Ph: (617) 983-4103 | Ms Carolyn Rundquist, MD 640 Centre St, Jamaica Plain, MA 02130-2555 Ph: (617) 983-4103 | 
| Dr. Staci R Eisenberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7025 | |
| Dr. Kim A Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130 Phone: 617-971-2312 | |
| Wanda Lopez-rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
| Dr. Jessica R Roth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
| Dr. Lauren Coogle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
| Anne Margaret Welch-cameron, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington St, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
| Nuria R Gine-nokes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 |