| Shriver Clinical Services Corporation | |
|
607 North Ave Door 14 Wakefield MA 01880-1301 | |
| (781) 279-1260 | |
| Not Available |
| Full Name | Shriver Clinical Services Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 607 North Ave, Wakefield, Massachusetts |
| Authorized Official Name and Position | Suzanne Cavallari (MANAGER) |
| Authorized Official Contact | 5083845567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shriver Clinical Services Corporation 591 North Ave Door 2 Wakefield MA 01880-1647 Ph: (781) 279-1260 | Shriver Clinical Services Corporation 607 North Ave Door 14 Wakefield MA 01880-1301 Ph: (781) 279-1260 |
| NPI Number | 1225014616 |
|---|---|
| Provider Enumeration Date | 12/19/2005 |
| Last Update Date | 02/22/2011 |
| Medicare PECOS PAC ID | 9739165648 |
|---|---|
| Medicare Enrollment ID | O20040629001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225014616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard A Hacker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114933611 PECOS PAC ID: 2466356274 Enrollment ID: I20031124000231 |
| Provider Name | John N Julian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013998483 PECOS PAC ID: 3072416213 Enrollment ID: I20040127000933 |
| Provider Name | Scott Yates |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427136613 PECOS PAC ID: 3971562166 Enrollment ID: I20041004001058 |
| Provider Name | Robert H Lambe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598749434 PECOS PAC ID: 0446206486 Enrollment ID: I20050323000717 |
| Provider Name | David N Havlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548231731 PECOS PAC ID: 6507842424 Enrollment ID: I20050329001301 |
| Provider Name | Norberto Alvarez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740230432 PECOS PAC ID: 0143277095 Enrollment ID: I20050404000542 |
| Provider Name | Albert M Loerinc |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295711653 PECOS PAC ID: 7517914153 Enrollment ID: I20050405001195 |
| Provider Name | Frank E Masci |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689645871 PECOS PAC ID: 5698712990 Enrollment ID: I20050408000184 |
| Provider Name | Marc A Manigat |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629028659 PECOS PAC ID: 3072651868 Enrollment ID: I20091116000600 |
| Provider Name | Colleen Viscarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427309640 PECOS PAC ID: 7315191442 Enrollment ID: I20130125000241 |
| Provider Name | Hilary S Ziegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184054694 PECOS PAC ID: 6608005228 Enrollment ID: I20140131000303 |
| Provider Name | Jeanne M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740610187 PECOS PAC ID: 3870722721 Enrollment ID: I20140219000306 |
| Provider Name | Bonnie S Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841691573 PECOS PAC ID: 0244552107 Enrollment ID: I20141203001264 |
| Provider Name | Jenny A Banach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417346057 PECOS PAC ID: 3971822750 Enrollment ID: I20150428002276 |
| Provider Name | Lindsay E Osullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083087225 PECOS PAC ID: 4385940501 Enrollment ID: I20160314001435 |
| Provider Name | Yukiko N Bowdoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160671 PECOS PAC ID: 9830425420 Enrollment ID: I20190718003605 |
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