| Benjamin Woodward, | |
|
295 Varnum Ave, Lowell, MA 01854-2134 | |
| (978) 942-2960 | |
| Not Available |
| Full Name | Benjamin Woodward |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 295 Varnum Ave, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407523301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA8672 (Massachusetts) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Dana-farber Cancer Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228 |
| Entity Name | Lgh Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174698385 PECOS PAC ID: 3173626751 Enrollment ID: O20070320000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Woodward, 295 Varnum Ave, Lowell, MA 01854-2193 Ph: (978) 942-2960 | Benjamin Woodward, 295 Varnum Ave, Lowell, MA 01854-2134 Ph: (978) 942-2960 |
Ms. Olimpia P Suciu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Ste 201, Lowell, MA 01854 Phone: 978-452-9700 Fax: 978-441-6075 |
Kelly Surabian, Physician Assistant Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |
Ms. Erin A Desmond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Suite 102, Lowell, MA 01854 Phone: 978-942-2610 Fax: 978-942-2616 |
Miss Michelle Mukasa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6439 |
Julieann Duong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |
Ms. Alena Fatima Jaffri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 165 Thorndike St Fl 4, Lowell, MA 01852 Phone: 978-955-9500 |
Rebecca Rideout, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |