| Cricket Health Medical Practice Of New Jersey | |
|
68 Harrison Ave Ste 39516 Boston MA 02111-1929 | |
| (888) 780-0253 | |
| Not Available |
| Full Name | Cricket Health Medical Practice Of New Jersey |
|---|---|
| Speciality | Internal Medicine |
| Location | 68 Harrison Ave Ste 39516, Boston, Massachusetts |
| Authorized Official Name and Position | Julie Dominguez (PRESIDENT) |
| Authorized Official Contact | 8336448244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cricket Health Medical Practice Of New Jersey 68 Harrison Ave Ste 605 Pmb 39516 Boston MA 02111-2327 Ph: (833) 664-8244 | Cricket Health Medical Practice Of New Jersey 68 Harrison Ave Ste 39516 Boston MA 02111-1929 Ph: (888) 780-0253 |
| NPI Number | 1447910864 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 01/27/2025 |
| Medicare PECOS PAC ID | 7214463181 |
|---|---|
| Medicare Enrollment ID | O20241216002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447910864 | NPI | - | NPPES |
| Provider Name | Kathleen Marie Guerrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326597105 PECOS PAC ID: 9931483633 Enrollment ID: I20180110003440 |
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