| 3dmedical Llc | |
|
500 Victory Rd Quincy MA 02171-3139 | |
| (617) 481-6905 | |
| Not Available |
| Full Name | 3dmedical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Victory Rd, Quincy, Massachusetts |
| Authorized Official Name and Position | Ivi Namik Kasimati (PHYSICIAN) |
| Authorized Official Contact | 2036688479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3dmedical Llc 2001 Marina Dr Apt 101 Quincy MA 02171-1541 Ph: () - | 3dmedical Llc 500 Victory Rd Quincy MA 02171-3139 Ph: (617) 481-6905 |
| NPI Number | 1255850020 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 09/13/2017 |
| Medicare PECOS PAC ID | 4688922115 |
|---|---|
| Medicare Enrollment ID | O20180731002968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255850020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 242854 (Massachusetts) | Primary |
| Provider Name | Ivi Kasimati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205921160 PECOS PAC ID: 0446250047 Enrollment ID: I20100910000125 |
| Provider Name | Haki Laho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639409477 PECOS PAC ID: 2567603590 Enrollment ID: I20130802000111 |
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