| Rafael Kakazu, MD | |
|
4 State Rd, Danvers, MA 01923-2567 | |
| (978) 774-3400 | |
| (978) 774-5883 |
| Full Name | Rafael Kakazu |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 4 State Rd, Danvers, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811374085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 294953 (Massachusetts) | Primary |
| Entity Name | Douglas E Peterson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336491612 PECOS PAC ID: 3678724325 Enrollment ID: O20121106000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Kakazu, MD 4 State Rd, Danvers, MA 01923-2567 Ph: (978) 774-3400 | Rafael Kakazu, MD 4 State Rd, Danvers, MA 01923-2567 Ph: (978) 774-3400 |
John J Boyle, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4 State Rd, Danvers, MA 01923 Phone: 978-774-3400 Fax: 978-774-5884 | |
Dr. Douglas Edward Peterson, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 State Rd, Danvers, MA 01923 Phone: 978-774-3400 Fax: 978-774-5883 | |
David P St Pierre, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 State Rd, Danvers, MA 01923 Phone: 978-774-3400 Fax: 978-774-5883 |