| Normand A Tanguay, MD | |
| 
					500 Salem St, Wilmington, MA 01887-1200  | |
| (978) 988-6209 | |
| (978) 988-6139 | 
| Full Name | Normand A Tanguay | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 500 Salem St, Wilmington, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568453983 | NPI | - | NPPES | 
| 3189988 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 151204 (Massachusetts) | Primary | 
| Entity Name | Children's Hospital Pediatric Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Normand A Tanguay, MD 136 W Newton St, Boston, MA 02118-1203 Ph: (978) 988-6209  | Normand A Tanguay, MD 500 Salem St, Wilmington, MA 01887-1200 Ph: (978) 988-6209  | 
Sandy Stephens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139  | |
Mrs. Gayathry Sooriyakumar Nene, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6200  | |
Carolyn J Sedor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139  | |
Daniel M Carson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139  | |
John L Maddox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139  | |
Sarah Andrew, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-988-6209 Fax: 978-988-6139  |