| Mass General Brigham Community Physicians Inc. | |
|
100 Brigham Way Westwood MA 02090 | |
| (857) 282-2028 | |
| (857) 282-5912 |
| Full Name | Mass General Brigham Community Physicians Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Brigham Way, Westwood, Massachusetts |
| Authorized Official Name and Position | David Connolly (CFO, SVP OF ADMIN & TREASURER) |
| Authorized Official Contact | 8572822028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass General Brigham Community Physicians Inc. 399 Revolution Dr Ste 1010 Somerville MA 02145-1473 Ph: (857) 282-2028 | Mass General Brigham Community Physicians Inc. 100 Brigham Way Westwood MA 02090 Ph: (857) 282-2028 |
| NPI Number | 1144707332 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 1759273436 |
|---|---|
| Medicare Enrollment ID | O20181008001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144707332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christine R Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629136726 PECOS PAC ID: 0648223214 Enrollment ID: I20050223000424 |
| Provider Name | Eric N Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285607861 PECOS PAC ID: 2961459847 Enrollment ID: I20050404000009 |
| Provider Name | Shirly A Tozzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710968755 PECOS PAC ID: 0345243374 Enrollment ID: I20060814000093 |
| Provider Name | Veronica Vedensky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538140579 PECOS PAC ID: 7517021835 Enrollment ID: I20090202000372 |
| Provider Name | Lisa D Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083726194 PECOS PAC ID: 6002972528 Enrollment ID: I20090309000543 |
| Provider Name | Regina A Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629075254 PECOS PAC ID: 8820281694 Enrollment ID: I20101025001119 |
| Provider Name | Jenny Y Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902035280 PECOS PAC ID: 3971757600 Enrollment ID: I20130206000012 |
| Provider Name | Christine S Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720455934 PECOS PAC ID: 9830409150 Enrollment ID: I20151117000314 |
| Provider Name | Kim L Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629557574 PECOS PAC ID: 4587900790 Enrollment ID: I20190109001101 |
| Provider Name | Afrin Burney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710360599 PECOS PAC ID: 4284932906 Enrollment ID: I20190730001234 |
| Provider Name | Kristen Alice Derderian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417645 PECOS PAC ID: 8022442326 Enrollment ID: I20191219000953 |
| Provider Name | Emily Hudson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921064 PECOS PAC ID: 0547675712 Enrollment ID: I20210222000159 |
| Provider Name | Katelyn E Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962027813 PECOS PAC ID: 5698181246 Enrollment ID: I20210308000583 |
| Provider Name | Talia Shorr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447545215 PECOS PAC ID: 0446479794 Enrollment ID: I20210814000071 |
| Provider Name | Katharine A Berthiaume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518694355 PECOS PAC ID: 3072982495 Enrollment ID: I20221207001003 |
Bond Medical Consultants, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 284 Canton St, Westwood, MA 02090 Phone: 617-418-0218 Fax: 617-364-1845 | |
Behlau Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Conant Rd, Westwood, MA 02090 Phone: 781-534-5712 |