Siulam Ciel Koo, DO | |
55 Fruit St, Boston, MA 02114-2696 | |
(617) 724-3718 | |
Not Available |
Full Name | Siulam Ciel Koo |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 55 Fruit St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932736733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 1023600 (Massachusetts) | Primary |
Entity Name | University Of Pittsburgh Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Mailing Address | Practice Location Address |
---|---|
Siulam Ciel Koo, DO 55 Fruit Ave, Boston, MA 02114-2696 Ph: () - | Siulam Ciel Koo, DO 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 724-3718 |
John Joseph Danko, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000 | |
Dr. Meijuan Zhao, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St Yaw 2100, Orthopaedic Associates, Boston, MA 02114 Phone: 617-726-8530 Fax: 617-724-8532 | |
Dr. John-paul David Hezel, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Stoneman 10, Boston, MA 02215 Phone: 617-667-7678 | |
Nahyun Kim, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-952-5299 | |
Dr. Saurabha Bhatnagar, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 150 S Huntington Ave # 117, Boston, MA 02130 Phone: 617-232-9500 | |
Cristina A Shea, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-952-5299 | |
Dr. Gary I Polykoff, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 15 Parkman St, Wac 340 Anesthesia Pain Management, Boston, MA 02114 Phone: 617-726-3512 Fax: 617-726-3519 |