| 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 |