| Mr Herbert K Ddungu, NP | |
|
2 Clark Street, Norfolk, MA 02056 | |
| (781) 788-6635 | |
| Not Available |
| Full Name | Mr Herbert K Ddungu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2 Clark Street, Norfolk, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568798981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN276069 (Massachusetts) | Primary |
| Entity Name | Goldstar Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821721978 PECOS PAC ID: 8527436641 Enrollment ID: O20221122000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Herbert K Ddungu, NP 2 Clark Road Mci-norfolk, Norfolk, MA 02056-0000 Ph: (781) 788-6635 | Mr Herbert K Ddungu, NP 2 Clark Street, Norfolk, MA 02056 Ph: (781) 788-6635 |
Sou Lor Barrientos, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Clark Street, Norfolk, MA 02056 Phone: 508-660-5900 | |
Katherine Jane Karol, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Clark St, Norfolk, MA 02056 Phone: 508-660-5900 | |
Heekyeong Ma, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Pine St Ste 204, Norfolk, MA 02056 Phone: 617-739-2100 |