| Boston Cardiovascular Associates, P.c. | |
|
125 Parker Hill Ave Ste 500 Roxbury Crossing MA 02120-2847 | |
| (617) 735-9200 | |
| (617) 735-9230 |
| Full Name | Boston Cardiovascular Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Parker Hill Ave, Roxbury Crossing, Massachusetts |
| Authorized Official Name and Position | Gerald Izzi (PRESIDENT) |
| Authorized Official Contact | 6177359200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Cardiovascular Associates, P.c. 125 Parker Hill Ave Ste 500 Roxbury Crossing MA 02120-2847 Ph: (617) 735-9200 | Boston Cardiovascular Associates, P.c. 125 Parker Hill Ave Ste 500 Roxbury Crossing MA 02120-2847 Ph: (617) 735-9200 |
| NPI Number | 1003998477 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 12/23/2009 |
| Medicare PECOS PAC ID | 1850334178 |
|---|---|
| Medicare Enrollment ID | O20050608000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003998477 | NPI | - | NPPES |
| 690848 | Other | MA | TUFTS |
| 9707727 | Medicaid | MA | |
| M17822 | Other | MA | BXBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | David Gomolin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528140985 PECOS PAC ID: 5496794349 Enrollment ID: I20050429000177 |
| Provider Name | Gerald Izzi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154403566 PECOS PAC ID: 3577506898 Enrollment ID: I20051029000081 |
Whittier Street Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1290 Tremont St, Roxbury Crossing, MA 02120 Phone: 617-427-1000 Fax: 617-858-2674 | |
New England Baptist Medical Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Parker Hill Ave, Roxbury Crossing, MA 02120 Phone: 617-754-5800 |