| Tara Kaushal Maxwell, MD | |
| 
					1 Joslin Pl, Boston, MA 02215  | |
| (617) 309-2400 | |
| Not Available | 
| Full Name | Tara Kaushal Maxwell | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Endocrinology | 
| Location | 1 Joslin Pl, 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 | 
|---|---|---|---|
| 1467795450 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 280123 (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  | 
| Entity Name | Joslin Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528003621 PECOS PAC ID: 5092794883 Enrollment ID: O20040715000769  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tara Kaushal Maxwell, MD 1 Joslin Pl, Boston, MA 02215-5306 Ph: () -  | Tara Kaushal Maxwell, MD 1 Joslin Pl, Boston, MA 02215 Ph: (617) 309-2400  | 
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363  | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066  | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  |