| Milford Regional Physician Group, Inc. | |
|
9 Industrial Rd Suite 5 Milford MA 01757-3735 | |
| (508) 473-1480 | |
| (508) 473-1210 |
| Full Name | Milford Regional Physician Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Industrial Rd, Milford, Massachusetts |
| Authorized Official Name and Position | Patrick R Mcsweeney (PRESIDENT) |
| Authorized Official Contact | 5084731480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milford Regional Physician Group, Inc. 9 Industrial Rd Ste 5 Milford MA 01757-3736 Ph: (508) 473-1480 | Milford Regional Physician Group, Inc. 9 Industrial Rd Suite 5 Milford MA 01757-3735 Ph: (508) 473-1480 |
| NPI Number | 1902856024 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 09/30/2019 |
| Medicare PECOS PAC ID | 5597679449 |
|---|---|
| Medicare Enrollment ID | O20040503001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902856024 | NPI | - | NPPES |
| 9768661 | Medicaid | MA | |
| M15507 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| Provider Name | Anne F Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306865662 PECOS PAC ID: 7315831948 Enrollment ID: I20040212000718 |
| Provider Name | Jay Jahanmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837347 PECOS PAC ID: 2163417619 Enrollment ID: I20040415000798 |
| Provider Name | Colette Whitby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225096480 PECOS PAC ID: 4284624966 Enrollment ID: I20040514000526 |
| Provider Name | Wendy J Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457382715 PECOS PAC ID: 3577554534 Enrollment ID: I20040519001305 |
| Provider Name | Bonnie J Bidinger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326029463 PECOS PAC ID: 1153312475 Enrollment ID: I20040524000933 |
| Provider Name | Kristine L Dulaski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841246964 PECOS PAC ID: 2860474103 Enrollment ID: I20040602000309 |
| Provider Name | Karen S Dicanzio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518075225 PECOS PAC ID: 1456336916 Enrollment ID: I20040621000550 |
| Provider Name | Michael J Mccormick |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1063496982 PECOS PAC ID: 0143209213 Enrollment ID: I20040714000659 |
| Provider Name | Richard J Daly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124059019 PECOS PAC ID: 6204808975 Enrollment ID: I20040812000195 |
| Provider Name | Kathleen M Aras Richard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710908397 PECOS PAC ID: 2769455682 Enrollment ID: I20040818000215 |
| Provider Name | John M Mulroy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508809690 PECOS PAC ID: 7416920228 Enrollment ID: I20040818000974 |
| Provider Name | Susan E Barrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053347229 PECOS PAC ID: 7315906641 Enrollment ID: I20041004000544 |
| Provider Name | Melissa Mahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164441705 PECOS PAC ID: 6709845845 Enrollment ID: I20041005001063 |
| Provider Name | Kimberly A Lovett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720006125 PECOS PAC ID: 2860455060 Enrollment ID: I20041109000452 |
| Provider Name | John A Deloge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346263589 PECOS PAC ID: 6103876974 Enrollment ID: I20050128000730 |
| Provider Name | Reynold J Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932134202 PECOS PAC ID: 8527014950 Enrollment ID: I20050329000294 |
| Provider Name | Kathryn L Cohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174554067 PECOS PAC ID: 5193771426 Enrollment ID: I20050329001227 |
| Provider Name | Peter N Scheinfein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750358362 PECOS PAC ID: 6103873781 Enrollment ID: I20050406000006 |
| Provider Name | William J Shine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104895622 PECOS PAC ID: 3274592274 Enrollment ID: I20050406000017 |
| Provider Name | Alan M Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871557520 PECOS PAC ID: 0749229730 Enrollment ID: I20050428000924 |
| Provider Name | Margaret Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073624862 PECOS PAC ID: 9133169725 Enrollment ID: I20050503000800 |
| Provider Name | Rebekah S Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114946043 PECOS PAC ID: 2961442868 Enrollment ID: I20050510001025 |
| Provider Name | Emmett A Clemente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790709 PECOS PAC ID: 8820039456 Enrollment ID: I20050513000383 |
| Provider Name | Sharon M Mullane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851303564 PECOS PAC ID: 5496796062 Enrollment ID: I20050513000716 |
| Provider Name | Beata E Kereszti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346338423 PECOS PAC ID: 5294776365 Enrollment ID: I20050518001170 |
| Provider Name | Luis A Carreiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356372395 PECOS PAC ID: 5991747511 Enrollment ID: I20050524001078 |
| Provider Name | Colleen A Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942235098 PECOS PAC ID: 3971545187 Enrollment ID: I20050527000341 |
| Provider Name | Patrick R Mcsweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720013931 PECOS PAC ID: 5991748634 Enrollment ID: I20050603000783 |
| Provider Name | Mary Ellen Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649299561 PECOS PAC ID: 3577506583 Enrollment ID: I20050609000729 |
| Provider Name | Mary J Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710918560 PECOS PAC ID: 6800830365 Enrollment ID: I20050615000410 |
| Provider Name | Michael A Connors |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184690620 PECOS PAC ID: 6507800950 Enrollment ID: I20050616000096 |
| Provider Name | Sanjaya Kumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902982879 PECOS PAC ID: 9234160185 Enrollment ID: I20050830000839 |
| Provider Name | William J Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205855624 PECOS PAC ID: 5092738179 Enrollment ID: I20060104000906 |
| Provider Name | Carolyn M Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104815539 PECOS PAC ID: 6608899521 Enrollment ID: I20060106000179 |
| Provider Name | Anthony E Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164470332 PECOS PAC ID: 9234144130 Enrollment ID: I20060214000554 |
| Provider Name | Xiaojing Tao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720052822 PECOS PAC ID: 3678576469 Enrollment ID: I20060816000577 |
| Provider Name | Cindy Munro Popovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427059021 PECOS PAC ID: 1658390430 Enrollment ID: I20060824000118 |
| Provider Name | Jamie Hoffman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811979024 PECOS PAC ID: 5698779163 Enrollment ID: I20060914000451 |
| Provider Name | Sonjay B Shrinivas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326070855 PECOS PAC ID: 6002811080 Enrollment ID: I20060926000160 |
| Provider Name | Suzanne Ragonese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073614269 PECOS PAC ID: 4385640218 Enrollment ID: I20061016000543 |
| Provider Name | Linda C Gifford Degeus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124085212 PECOS PAC ID: 1951359546 Enrollment ID: I20061025000497 |
| Provider Name | Imad U Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740251743 PECOS PAC ID: 4789628942 Enrollment ID: I20061109000589 |
| Provider Name | Carrie J Diramio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790782993 PECOS PAC ID: 8921087560 Enrollment ID: I20061113000077 |
| Provider Name | Petra H Belady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467485482 PECOS PAC ID: 7719985738 Enrollment ID: I20061129000125 |
| Provider Name | Karen K Jeng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942285184 PECOS PAC ID: 8820052749 Enrollment ID: I20070205000034 |
| Provider Name | Kathleen M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679636286 PECOS PAC ID: 3779688460 Enrollment ID: I20070425000488 |
| Provider Name | Mohammad Salajegheh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427012822 PECOS PAC ID: 2567561392 Enrollment ID: I20070620000233 |
| Provider Name | Brian T Chan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770541641 PECOS PAC ID: 0345349965 Enrollment ID: I20070622000382 |
| Provider Name | Michael C Newstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437266574 PECOS PAC ID: 2567561012 Enrollment ID: I20070625000034 |
| Provider Name | Elena E Smagina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871625756 PECOS PAC ID: 8325130776 Enrollment ID: I20070815000652 |
| Provider Name | Louis Liou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346212404 PECOS PAC ID: 5799671467 Enrollment ID: I20070822001210 |
| Provider Name | Neil S Horowitz |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629050919 PECOS PAC ID: 8123110996 Enrollment ID: I20070824000146 |
| Provider Name | Tarek E El Sharkawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275586851 PECOS PAC ID: 2466498241 Enrollment ID: I20070922000075 |
| Provider Name | Christina L Morrison |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558563676 PECOS PAC ID: 9335234152 Enrollment ID: I20071009000043 |
| Provider Name | Suhrutha D Holla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275685794 PECOS PAC ID: 4486740248 Enrollment ID: I20071010000272 |
| Provider Name | Ranjan Chowdhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386794675 PECOS PAC ID: 9739130162 Enrollment ID: I20071012000440 |
| Provider Name | Mengtao Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558328641 PECOS PAC ID: 6800982158 Enrollment ID: I20071017000665 |
| Provider Name | Sudesh Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104014117 PECOS PAC ID: 7214025568 Enrollment ID: I20071120000287 |
| Provider Name | Colleen E Ammidown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932392677 PECOS PAC ID: 0244313278 Enrollment ID: I20080213000480 |
| Provider Name | Samir Malkani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174506018 PECOS PAC ID: 1355428251 Enrollment ID: I20080402000531 |
| Provider Name | Brenda G Coutinho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356303754 PECOS PAC ID: 4082791199 Enrollment ID: I20080414000105 |
| Provider Name | Ann E Rickert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790716512 PECOS PAC ID: 2466522578 Enrollment ID: I20080602000371 |
| Provider Name | Thorley E Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841221876 PECOS PAC ID: 4688744709 Enrollment ID: I20080602000417 |
| Provider Name | Michael N Jolie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760408827 PECOS PAC ID: 3476624073 Enrollment ID: I20080625000038 |
| Provider Name | Jennifer P Braley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740452523 PECOS PAC ID: 8729151568 Enrollment ID: I20080726000069 |
| Provider Name | Bailoo Rohatgi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679746564 PECOS PAC ID: 4183799711 Enrollment ID: I20080818000137 |
| Provider Name | Haisun Liao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417022898 PECOS PAC ID: 4183799281 Enrollment ID: I20080826000041 |
| Provider Name | Kathryn Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437148772 PECOS PAC ID: 1759457583 Enrollment ID: I20080902000574 |
| Provider Name | Michael C Fahey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255536082 PECOS PAC ID: 9436225976 Enrollment ID: I20080905000528 |
| Provider Name | Barjinder K Darbhanga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881876217 PECOS PAC ID: 4789752890 Enrollment ID: I20081002000326 |
| Provider Name | Raafat F Awad Mousad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760402556 PECOS PAC ID: 4981623782 Enrollment ID: I20081008000648 |
| Provider Name | Theresa Arpin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770700288 PECOS PAC ID: 4789742065 Enrollment ID: I20081015000730 |
| Provider Name | Michael A Vazquez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578699955 PECOS PAC ID: 1759449879 Enrollment ID: I20081018000047 |
| Provider Name | Leonard Digiovanni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124081401 PECOS PAC ID: 9133288137 Enrollment ID: I20081105000768 |
| Provider Name | Hui Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710032578 PECOS PAC ID: 6901966860 Enrollment ID: I20081121000304 |
| Provider Name | Jennifer D Rekrut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730330259 PECOS PAC ID: 3678637121 Enrollment ID: I20090127000656 |
| Provider Name | Rosemary Kirousis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609023985 PECOS PAC ID: 2264597624 Enrollment ID: I20090218000407 |
| Provider Name | Samir H Kailani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467515452 PECOS PAC ID: 1759454564 Enrollment ID: I20090526000384 |
| Provider Name | Evan A Soderstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800430 PECOS PAC ID: 2961472899 Enrollment ID: I20090801000045 |
| Provider Name | Erika C Pommett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386734838 PECOS PAC ID: 5698828648 Enrollment ID: I20090808000117 |
| Provider Name | Christopher Baranano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245449552 PECOS PAC ID: 2466508569 Enrollment ID: I20090915000158 |
| Provider Name | Aaron M Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861547762 PECOS PAC ID: 3375680341 Enrollment ID: I20091023000065 |
| Provider Name | Mark Skiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669497806 PECOS PAC ID: 2961542451 Enrollment ID: I20091214000543 |
| Provider Name | Tina M Robakiewicz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568419802 PECOS PAC ID: 6103966510 Enrollment ID: I20091216000106 |
| Provider Name | Elizabeth Gebhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427109438 PECOS PAC ID: 5991845257 Enrollment ID: I20091216000597 |
| Provider Name | Jane R Curl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316964281 PECOS PAC ID: 2062552847 Enrollment ID: I20091230000070 |
| Provider Name | Terry Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962628529 PECOS PAC ID: 8527103787 Enrollment ID: I20100227000032 |
| Provider Name | Celeste J Giraitis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265694624 PECOS PAC ID: 3072670876 Enrollment ID: I20100504000792 |
| Provider Name | Sharon L Ginsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780828566 PECOS PAC ID: 1850421918 Enrollment ID: I20100616000448 |
| Provider Name | Elizabeth T Siraco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598797359 PECOS PAC ID: 9830229707 Enrollment ID: I20100621000144 |
| Provider Name | Cindy Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801811344 PECOS PAC ID: 5890826713 Enrollment ID: I20100621000841 |
| Provider Name | Monica Vancampen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417989286 PECOS PAC ID: 3779614524 Enrollment ID: I20100623000561 |
| Provider Name | Thomas G Conley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326073610 PECOS PAC ID: 5991836207 Enrollment ID: I20100701000085 |
| Provider Name | Cheryl A Hardenbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972536043 PECOS PAC ID: 5496886574 Enrollment ID: I20100707000054 |
| Provider Name | Monica S Woodward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992717912 PECOS PAC ID: 7214061787 Enrollment ID: I20100819000261 |
| Provider Name | Diego Illanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568529121 PECOS PAC ID: 4082748371 Enrollment ID: I20100823000944 |
| Provider Name | Matthew W Mccauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346447430 PECOS PAC ID: 3476677055 Enrollment ID: I20100903000077 |
| Provider Name | Brittany Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720200819 PECOS PAC ID: 0648395004 Enrollment ID: I20100909000340 |
| Provider Name | Patty-ann S Krajewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366451734 PECOS PAC ID: 1557556271 Enrollment ID: I20101108001051 |
| Provider Name | Lisa Abbondanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770892630 PECOS PAC ID: 2860687126 Enrollment ID: I20101111001184 |
| Provider Name | Deepa L Ratwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609076686 PECOS PAC ID: 9234325150 Enrollment ID: I20101118000048 |
| Provider Name | Deborah S. Derderian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619123205 PECOS PAC ID: 0547457269 Enrollment ID: I20101207001212 |
| Provider Name | Fozia Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790985414 PECOS PAC ID: 3375731797 Enrollment ID: I20101229000068 |
| Provider Name | Deirdre L Kathman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528228889 PECOS PAC ID: 0446449201 Enrollment ID: I20110110000098 |
| Provider Name | Catherine B Boisvert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508915331 PECOS PAC ID: 8921287509 Enrollment ID: I20110128000119 |
| Provider Name | Steven L Chang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962699785 PECOS PAC ID: 0244419752 Enrollment ID: I20110128000562 |
| Provider Name | Tzvi Bluestone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891981734 PECOS PAC ID: 8527157320 Enrollment ID: I20110311000477 |
| Provider Name | Eddie E Michli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194924738 PECOS PAC ID: 5193818318 Enrollment ID: I20110517000081 |
| Provider Name | Lisa C Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316253818 PECOS PAC ID: 2062607716 Enrollment ID: I20110708000188 |
| Provider Name | Melissa L Palma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952399537 PECOS PAC ID: 2860599156 Enrollment ID: I20110812000254 |
| Provider Name | Yushan C Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528116001 PECOS PAC ID: 4587836549 Enrollment ID: I20111017000656 |
| Provider Name | Joanna N Capparella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538131479 PECOS PAC ID: 2769656057 Enrollment ID: I20111123000156 |
| Provider Name | Eric P Kohler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720015357 PECOS PAC ID: 0749447811 Enrollment ID: I20120201000005 |
| Provider Name | Mary Kay K Myers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720060429 PECOS PAC ID: 2163489519 Enrollment ID: I20120217000042 |
| Provider Name | Ryan G Shipe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194943316 PECOS PAC ID: 9436336534 Enrollment ID: I20120723000032 |
| Provider Name | Erik V Berg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235395500 PECOS PAC ID: 0446416077 Enrollment ID: I20120725000536 |
| Provider Name | Holly A Plumb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699032078 PECOS PAC ID: 9739345018 Enrollment ID: I20120801000323 |
| Provider Name | Diana L Caragacianu |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053509539 PECOS PAC ID: 9436230927 Enrollment ID: I20120808000711 |
| Provider Name | Kathryn A Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215296140 PECOS PAC ID: 7810144508 Enrollment ID: I20120831000453 |
| Provider Name | Mustafa Albakour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407127558 PECOS PAC ID: 9335398718 Enrollment ID: I20120928000043 |
| Provider Name | Phillip D Messer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053549329 PECOS PAC ID: 3476704164 Enrollment ID: I20121106000043 |
| Provider Name | Maria K Bastos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720330558 PECOS PAC ID: 3173775566 Enrollment ID: I20121211000350 |
| Provider Name | Glen D Gaebe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730319005 PECOS PAC ID: 2365694619 Enrollment ID: I20121212000425 |
| Provider Name | Kerri L Batra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295714806 PECOS PAC ID: 1355428624 Enrollment ID: I20130125000003 |
| Provider Name | Qiwei Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316101330 PECOS PAC ID: 7214115336 Enrollment ID: I20130206000207 |
| Provider Name | Benjamin L Lieberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356413579 PECOS PAC ID: 3173765732 Enrollment ID: I20130809000531 |
| Provider Name | Zhongzhen Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669797791 PECOS PAC ID: 1153565650 Enrollment ID: I20130924000447 |
| Provider Name | Stacey J. Beberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134356843 PECOS PAC ID: 1254566920 Enrollment ID: I20131105001243 |
| Provider Name | Tonya A Bowzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497098339 PECOS PAC ID: 2466688221 Enrollment ID: I20131126001695 |
| Provider Name | Debra L. Cohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508136268 PECOS PAC ID: 1153586789 Enrollment ID: I20140114001745 |
| Provider Name | Noressa D Santomenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184054785 PECOS PAC ID: 1456580224 Enrollment ID: I20140128001049 |
| Provider Name | Kristin M Laraja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487856589 PECOS PAC ID: 9032233184 Enrollment ID: I20140822002421 |
| Provider Name | Agnieszka K Buniowska-popiolek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992127369 PECOS PAC ID: 8426279142 Enrollment ID: I20141022001815 |
| Provider Name | Lisa Banian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598174120 PECOS PAC ID: 5294956579 Enrollment ID: I20141030001291 |
| Provider Name | Afsaneh Lomax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497157119 PECOS PAC ID: 7315262342 Enrollment ID: I20150213000613 |
| Provider Name | Nancy Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710382874 PECOS PAC ID: 5092032839 Enrollment ID: I20150316002077 |
| Provider Name | William D Recupero |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629193214 PECOS PAC ID: 6507004074 Enrollment ID: I20150406001342 |
| Provider Name | William M Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669785812 PECOS PAC ID: 8527242098 Enrollment ID: I20150706001378 |
| Provider Name | Sharon C Burdulis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376657007 PECOS PAC ID: 6204140825 Enrollment ID: I20150727002171 |
| Provider Name | Kristen Perras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790807865 PECOS PAC ID: 0749594125 Enrollment ID: I20150729008227 |
| Provider Name | Davinderpal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265712236 PECOS PAC ID: 3779714555 Enrollment ID: I20150831001945 |
| Provider Name | Praveen Devineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245586346 PECOS PAC ID: 3971803503 Enrollment ID: I20151203000312 |
| Provider Name | Bartholomew Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205118668 PECOS PAC ID: 8022301688 Enrollment ID: I20160720001576 |
| Provider Name | Lauren B Abric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591447 PECOS PAC ID: 0244524023 Enrollment ID: I20160803000004 |
| Provider Name | Jonathan H Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689012411 PECOS PAC ID: 5597064881 Enrollment ID: I20160819001931 |
| Provider Name | Adalia H Jun- O'connell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033347240 PECOS PAC ID: 4082838495 Enrollment ID: I20160823001898 |
| Provider Name | Matthew D. Ingham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417242074 PECOS PAC ID: 5991005456 Enrollment ID: I20160825002591 |
| Provider Name | Chantal Dewey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730526302 PECOS PAC ID: 3375775364 Enrollment ID: I20160829000311 |
| Provider Name | Emmalee M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437532868 PECOS PAC ID: 7214223072 Enrollment ID: I20160906000982 |
| Provider Name | Thara Basavaiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740527357 PECOS PAC ID: 7416197413 Enrollment ID: I20160909001390 |
| Provider Name | Felix R Szabo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669714051 PECOS PAC ID: 7012209612 Enrollment ID: I20161010001544 |
| Provider Name | Mark C Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154769842 PECOS PAC ID: 6002048089 Enrollment ID: I20161019002073 |
| Provider Name | Ryan Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679925291 PECOS PAC ID: 6901184019 Enrollment ID: I20161025000502 |
| Provider Name | Audra V Beliveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427503713 PECOS PAC ID: 2567740996 Enrollment ID: I20161104001592 |
| Provider Name | Vidya H Dixit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790125045 PECOS PAC ID: 1355620287 Enrollment ID: I20161117001463 |
| Provider Name | Kartika Gourneni Gourneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376985663 PECOS PAC ID: 8820310097 Enrollment ID: I20161122000238 |
| Provider Name | Pradeep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780761536 PECOS PAC ID: 1254467798 Enrollment ID: I20161205001734 |
| Provider Name | Gina E Tobin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659747624 PECOS PAC ID: 6103109822 Enrollment ID: I20170203000184 |
| Provider Name | Peter S Nakhla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679728018 PECOS PAC ID: 9234263930 Enrollment ID: I20170407000466 |
| Provider Name | Morgan C Morgante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205377231 PECOS PAC ID: 5193092575 Enrollment ID: I20170607000377 |
| Provider Name | Brian J Ferrara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083057053 PECOS PAC ID: 7416184916 Enrollment ID: I20170614002750 |
| Provider Name | Jean-luc Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164811741 PECOS PAC ID: 2860761251 Enrollment ID: I20170628000494 |
| Provider Name | An-qi Hu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083028534 PECOS PAC ID: 5597064816 Enrollment ID: I20170810002834 |
| Provider Name | Andrew R Willment |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700223385 PECOS PAC ID: 9032427539 Enrollment ID: I20170816000798 |
| Provider Name | Kimberly Ann Russell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326305905 PECOS PAC ID: 2365714714 Enrollment ID: I20170919004006 |
| Provider Name | Ashley E Butland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306265541 PECOS PAC ID: 2466675145 Enrollment ID: I20170925003438 |
| Provider Name | Devon M Alvaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982841094 PECOS PAC ID: 5092080895 Enrollment ID: I20171004001914 |
| Provider Name | Veronica Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649796509 PECOS PAC ID: 6608141320 Enrollment ID: I20171005003465 |
| Provider Name | Monique S Burchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235662040 PECOS PAC ID: 2163789181 Enrollment ID: I20171130000016 |
| Provider Name | Kevin Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588682983 PECOS PAC ID: 2466423819 Enrollment ID: I20180329000081 |
| Provider Name | Glen Edward Ollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641143 PECOS PAC ID: 7012270960 Enrollment ID: I20180406001211 |
| Provider Name | Salaheldin M Elhamamsy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912136086 PECOS PAC ID: 6608024682 Enrollment ID: I20180430001024 |
| Provider Name | Ameer Trilok Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538507512 PECOS PAC ID: 6709185390 Enrollment ID: I20180508001122 |
| Provider Name | Kelly Rose Bowen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174920557 PECOS PAC ID: 7012271299 Enrollment ID: I20180516001981 |
| Provider Name | Margaret Preissler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295113777 PECOS PAC ID: 2860707999 Enrollment ID: I20180531001212 |
| Provider Name | Lisa Beth Clemente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639685589 PECOS PAC ID: 7810243383 Enrollment ID: I20180713001237 |
| Provider Name | Kevin C. Jillson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225476914 PECOS PAC ID: 1557679792 Enrollment ID: I20180808002454 |
| Provider Name | Kumait Jaroje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649523713 PECOS PAC ID: 6507134145 Enrollment ID: I20180814003487 |
| Provider Name | Selvana S Takla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558744268 PECOS PAC ID: 9638460066 Enrollment ID: I20180907001833 |
| Provider Name | Young Kevin Xia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669859534 PECOS PAC ID: 7214288422 Enrollment ID: I20180927002273 |
| Provider Name | Dost Sarpel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861653198 PECOS PAC ID: 8022161405 Enrollment ID: I20181015001529 |
| Provider Name | Olga Y. Kuzina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346635596 PECOS PAC ID: 6608183611 Enrollment ID: I20181121002612 |
| Provider Name | Jessica Rachael Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881053767 PECOS PAC ID: 4082959457 Enrollment ID: I20181213001992 |
| Provider Name | Benson M Njenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447645437 PECOS PAC ID: 4284947466 Enrollment ID: I20181217002199 |
| Provider Name | Geraldo Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154847507 PECOS PAC ID: 6305184060 Enrollment ID: I20190205002768 |
| Provider Name | Afua S Dodoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568807170 PECOS PAC ID: 1951629054 Enrollment ID: I20190410001169 |
| Provider Name | Nancy Nagda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730647108 PECOS PAC ID: 2163764283 Enrollment ID: I20190419000818 |
| Provider Name | Kyle Lanciani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831642610 PECOS PAC ID: 3375831019 Enrollment ID: I20190509001752 |
| Provider Name | Eliezer J Sternberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467868711 PECOS PAC ID: 1557677424 Enrollment ID: I20190613003241 |
| Provider Name | Meghan M Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630294 PECOS PAC ID: 8729368360 Enrollment ID: I20190618000803 |
| Provider Name | Marybeth Allian-sauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477609055 PECOS PAC ID: 9739376278 Enrollment ID: I20190619000192 |
| Provider Name | Cailin E Mcdeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508228545 PECOS PAC ID: 5597050716 Enrollment ID: I20190731000287 |
| Provider Name | Elaine A Hulteng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669866828 PECOS PAC ID: 2668785478 Enrollment ID: I20190815001153 |
| Provider Name | Polina Paskaleva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831610732 PECOS PAC ID: 3476814260 Enrollment ID: I20190918002148 |
| Provider Name | Michael C Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952764227 PECOS PAC ID: 1355636572 Enrollment ID: I20190920002982 |
| Provider Name | Aditi Mohankumar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629365440 PECOS PAC ID: 1052551454 Enrollment ID: I20191002001466 |
| Provider Name | Elyssar Saad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497317531 PECOS PAC ID: 1951632215 Enrollment ID: I20191017001589 |
| Provider Name | Karina Augusta Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144580168 PECOS PAC ID: 7315268851 Enrollment ID: I20191104003196 |
| Provider Name | Matthew P Rozanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597265 PECOS PAC ID: 1153754148 Enrollment ID: I20191205000677 |
| Provider Name | Jimmy Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740635986 PECOS PAC ID: 3072947472 Enrollment ID: I20191217003002 |
| Provider Name | Swalpa Udit |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205254406 PECOS PAC ID: 4981996824 Enrollment ID: I20200225002599 |
| Provider Name | Rachel Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285184283 PECOS PAC ID: 4284061292 Enrollment ID: I20200303001196 |
| Provider Name | Jill A Vonnegut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689156374 PECOS PAC ID: 1557799384 Enrollment ID: I20200310001000 |
| Provider Name | Geoffrey E Stoker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326458779 PECOS PAC ID: 9931327905 Enrollment ID: I20200327001220 |
| Provider Name | Jack Varon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326451196 PECOS PAC ID: 6305277419 Enrollment ID: I20200505001977 |
| Provider Name | Aditi Ahlawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104207901 PECOS PAC ID: 7618308222 Enrollment ID: I20200515000752 |
| Provider Name | Mahawa K Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639608920 PECOS PAC ID: 0547539728 Enrollment ID: I20200817000680 |
| Provider Name | Roberto S Amado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518498484 PECOS PAC ID: 4981978996 Enrollment ID: I20200818002188 |
| Provider Name | Meredith Lataille |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174122295 PECOS PAC ID: 4981015807 Enrollment ID: I20201127000080 |
| Provider Name | Anne Marie Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528118973 PECOS PAC ID: 9739302266 Enrollment ID: I20201130002875 |
| Provider Name | Jessica G Goonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174122899 PECOS PAC ID: 1355753724 Enrollment ID: I20201209002893 |
| Provider Name | Marisa J Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768728 PECOS PAC ID: 9335553007 Enrollment ID: I20210121000896 |
| Provider Name | Susan L. Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590591 PECOS PAC ID: 7416260302 Enrollment ID: I20210407001831 |
| Provider Name | Ines Kebir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518585223 PECOS PAC ID: 3476952698 Enrollment ID: I20210520000938 |
| Provider Name | Theresa M Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023560653 PECOS PAC ID: 1658770540 Enrollment ID: I20210526000489 |
| Provider Name | Dominique Kalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336386218 PECOS PAC ID: 4880873397 Enrollment ID: I20210621002000 |
| Provider Name | John A Andrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528588589 PECOS PAC ID: 8325319601 Enrollment ID: I20210802000256 |
| Provider Name | Patricia A Cristofaro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598798688 PECOS PAC ID: 9234327230 Enrollment ID: I20210802000971 |
| Provider Name | Andrew W Ferree |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942662366 PECOS PAC ID: 5092009670 Enrollment ID: I20210802001645 |
| Provider Name | Harika Kandukuri Nandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245727726 PECOS PAC ID: 1052718889 Enrollment ID: I20210922000031 |
| Provider Name | Alexandra Leigh Cataldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407462955 PECOS PAC ID: 3072910520 Enrollment ID: I20210925000008 |
| Provider Name | Tess Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521636 PECOS PAC ID: 6204224116 Enrollment ID: I20211026002708 |
| Provider Name | Elizabeth Anne Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730655085 PECOS PAC ID: 0143618603 Enrollment ID: I20211102002977 |
| Provider Name | Sunjay Sethi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932561099 PECOS PAC ID: 5193078996 Enrollment ID: I20211103001102 |
| Provider Name | Emily S Czotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497418149 PECOS PAC ID: 7416347745 Enrollment ID: I20211201000615 |
| Provider Name | Amy A Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760438568 PECOS PAC ID: 1951363431 Enrollment ID: I20211201000812 |
| Provider Name | Simran S Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821589623 PECOS PAC ID: 1850620220 Enrollment ID: I20220221002294 |
| Provider Name | Matthew Jonathan Okscin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760141394 PECOS PAC ID: 2668868506 Enrollment ID: I20220401001584 |
| Provider Name | Damodar Naidu Penigalapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104250943 PECOS PAC ID: 6406137249 Enrollment ID: I20220420001768 |
| Provider Name | Sam J Bloom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972063311 PECOS PAC ID: 4880920958 Enrollment ID: I20220523000385 |
| Provider Name | Quirico Evangelista |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699141077 PECOS PAC ID: 9032596507 Enrollment ID: I20220523001378 |
| Provider Name | Ezequiel De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124764238 PECOS PAC ID: 2264810217 Enrollment ID: I20220602001381 |
| Provider Name | Christian M Frese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093278749 PECOS PAC ID: 7416283692 Enrollment ID: I20220607000359 |
| Provider Name | Erin C Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295233500 PECOS PAC ID: 5496135139 Enrollment ID: I20220712001208 |
| Provider Name | Brendan Kiernan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376906891 PECOS PAC ID: 0042502189 Enrollment ID: I20220727003077 |
| Provider Name | Lisa Anne Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881326403 PECOS PAC ID: 8426432873 Enrollment ID: I20220902000153 |
| Provider Name | Danielle Eileen Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477272540 PECOS PAC ID: 1557730223 Enrollment ID: I20221220001504 |
| Provider Name | Maria E Danna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013502699 PECOS PAC ID: 0244602472 Enrollment ID: I20230215002656 |
| Provider Name | Michaela Elizabeth Aitken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104495001 PECOS PAC ID: 5092180562 Enrollment ID: I20230414001058 |
| Provider Name | Monzolesso Bagah-kognagba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023515996 PECOS PAC ID: 6406276112 Enrollment ID: I20230517002749 |
| Provider Name | Bennett Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356704456 PECOS PAC ID: 8729386644 Enrollment ID: I20230522001941 |
| Provider Name | Seth E Wakefield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003435702 PECOS PAC ID: 9234549262 Enrollment ID: I20230522003513 |
| Provider Name | Lee Campano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104041797 PECOS PAC ID: 4688740475 Enrollment ID: I20230601002620 |
| Provider Name | Shannon B Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821750779 PECOS PAC ID: 6608233770 Enrollment ID: I20230605002189 |
| Provider Name | Kriselda Genovese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497457873 PECOS PAC ID: 4183084924 Enrollment ID: I20230712002167 |
| Provider Name | Konstantin Ravvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851901 PECOS PAC ID: 7113256207 Enrollment ID: I20230914000965 |
| Provider Name | Kelly Mastroianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437883204 PECOS PAC ID: 9436506623 Enrollment ID: I20231109001382 |
| Provider Name | Jordan Nicole Manzotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487423679 PECOS PAC ID: 2264875228 Enrollment ID: I20240206003724 |
| Provider Name | Neishay Ayub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538571518 PECOS PAC ID: 6002033529 Enrollment ID: I20240207002014 |
Medexpress - Waters Corp Milford Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Maple St, Milford, MA 01757 Phone: 508-482-2315 Fax: 508-482-2988 | |
Doyle Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Water St, Milford, MA 01757 Phone: 508-634-0017 Fax: 508-478-6247 | |
Eugene C. Jagella, M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Prospect St, Milford, MA 01757 Phone: 508-478-4618 | |
Milford Gastroenterology Associates Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 West St, Milford, MA 01757 Phone: 508-478-6363 Fax: 508-478-0349 | |
Metrowest Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Fortune Blvd, Milford, MA 01757 Phone: 508-634-4955 | |
Sidhu Medical Assoc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 West St, Suite 1, Milford, MA 01757 Phone: 508-473-2176 Fax: 508-473-7395 | |
Seitz Specific Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Main St, Milford, MA 01757 Phone: 508-478-4344 |