| Hospitalist Medicine Physicians Of Massachusetts - Brockton, Pc | |
|
5410 Maryland Way Ste 300 Brentwood TN 37027-5339 | |
| (615) 377-5658 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Massachusetts - Brockton, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5410 Maryland Way Ste 300, Brentwood, Tennessee |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Massachusetts - Brockton, Pc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Massachusetts - Brockton, Pc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 |
| NPI Number | 1457997512 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 0244773349 |
|---|---|
| Medicare Enrollment ID | O20240618000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457997512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard T Ruffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386686129 PECOS PAC ID: 1052323326 Enrollment ID: I20060705000187 |
| Provider Name | Collins C Onwuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366054009 PECOS PAC ID: 3779994876 Enrollment ID: I20201120002032 |
| Provider Name | Mahmoud Salah El Iskandarani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821519364 PECOS PAC ID: 4385069400 Enrollment ID: I20220420001050 |
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