| Thomas J Hathaway, MD | |
|
111 Grossman Dr, Braintree, MA 02184-4997 | |
| (781) 849-2300 | |
| (781) 849-2377 |
| Full Name | Thomas J Hathaway |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 111 Grossman Dr, Braintree, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972581411 | NPI | - | NPPES |
| 051041 | Other | MA | TUFTS |
| 3191460 | Medicaid | MA | |
| 0015122 | Other | MA | NEIGHBORHOOD HEALTH |
| B10459302 | Other | MA | CIGNA |
| J12386 | Other | MA | BLUE CROSS |
| PP137 | Other | MA | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 51041 (Massachusetts) | Primary |
| Entity Name | Atrius Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Hathaway, MD 111 Grossman Dr, Braintree, MA 02184-4997 Ph: (781) 849-2300 | Thomas J Hathaway, MD 111 Grossman Dr, Braintree, MA 02184-4997 Ph: (781) 849-2300 |
Dr. Scott R. Paul, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd, Suite 301, Braintree, MA 02184 Phone: 781-356-6200 | |
Jonathan H Brenner, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd, Suite 301, Braintree, MA 02184 Phone: 781-356-6200 | |
Michele F Greenwald, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2300 Fax: 781-849-2377 | |
Dr. Jean R Brodnax, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Grossman Dr, Pediatrics Dept, Braintree, MA 02184 Phone: 781-849-2302 | |
Ben Matthews Willwerth Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Road, Suite 301, Braintree, MA 02184 Phone: 781-356-6200 Fax: 781-356-6299 | |
Peter A Barrant, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Pediatrics Dept, Braintree, MA 02184 Phone: 781-849-2300 Fax: 781-849-2377 | |
Brian B Guarnotta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2300 Fax: 781-849-2377 |