| Suiki Liao, | |
|
45 Dan Rd, Canton, MA 02021-2852 | |
| (646) 494-6636 | |
| Not Available |
| Full Name | Suiki Liao |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 45 Dan Rd, Canton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285495598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2322812 (Massachusetts) | Primary |
| Entity Name | Brockton Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Suiki Liao, 77 E Squantum St, Quincy, MA 02171-2252 Ph: () - | Suiki Liao, 45 Dan Rd, Canton, MA 02021-2852 Ph: (646) 494-6636 |
Jocelyne Destine Marcellus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jessica Dias, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-867-2050 | |
Jeannie Simeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
John Leonard Goncalo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Washington St, Canton, MA 02021 Phone: 781-828-5351 | |
Michele Whitaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Turnpike St Ste 206, Canton, MA 02021 Phone: 508-566-4032 | |
Ms. Charlene Charisse Hollins, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715b Washington St, Canton, MA 02021 Phone: 978-222-0024 Fax: 617-582-2373 | |
Hannah Krafton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-876-2040 |