| Wanda Lopez-rodriguez, MD | |
|
3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 | |
| (617) 522-4700 | |
| Not Available |
| Full Name | Wanda Lopez-rodriguez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3297 Washington Street, Jamaica Plain, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144286394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 76289 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Lopez-rodriguez, MD 111 Cypress St, Brookline, MA 02445-6002 Ph: (857) 307-0896 | Wanda Lopez-rodriguez, MD 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Ph: (617) 522-4700 |
Dr. Staci R Eisenberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7025 | |
Dr. Kim A Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130 Phone: 617-971-2312 | |
Dr. Jessica R Roth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
Dr. Lauren Coogle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 | |
Anne Margaret Welch-cameron, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3297 Washington St, Jamaica Plain, MA 02130 Phone: 617-522-4700 | |
Nuria R Gine-nokes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 Phone: 617-522-4700 |