Declan Fennell (NPI# 1366481608, PAC ID# 2365616000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1366481608 |
PAC ID by PECOS | 2365616000 |
Professional Enrollment ID | I20111115000813 |
Full Name | Declan Fennell |
Organization Legal Name | NEW DIMENSIONS IN HEALTH INC |
Address |
1 Seaport Ln Boston MA 02210-2013 |
Phone Number | 6173854543 |
Gender | M |
Graduation Year | 1999 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 8729057278 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1 Seaport Ln, Boston, MA 02210-2013 | 6173854543 | NEW DIMENSIONS IN HEALTH INC |
653 Summer St, Boston, MA 02210-2108 | 6172696262 | NEW DIMENSIONS IN HEALTH INC |
Organization Legal Name | NEW DIMENSIONS IN HEALTH INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angel Eduardo Baricelli | Physical Therapy | New Dimensions In Health Inc | 40 Asbury St, South Hamilton, MA 01982-1808 |
Judith Hershberg | Physical Therapy | New Dimensions In Health Inc | 40 Asbury St, South Hamilton, MA 01982-1808 |
Jennifer Richard | Physical Therapy | New Dimensions In Health Inc | 40 Asbury St, South Hamilton, MA 01982-1808 |
Catherine S Lane | Physical Therapy | New Dimensions In Health Inc | 40 Asbury St, South Hamilton, MA 01982-1808 |
Mary C Mcpherson | Physical Therapy | New Dimensions In Health Inc | 653 Summer St, Boston, MA 02210-2108 |
Street Address |
1 SEAPORT LN |
City | BOSTON |
State | MA |
Zip | 02210-2013 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachael G Mcguinness | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 63 Melcher St, Bsmt Floor, Boston, MA 02210-1528 |
Kristie Mclean | Chiropractic | 653 Summer St, Boston, MA 02210-2108 | |
Mary C Mcpherson | Physical Therapy | New Dimensions In Health Inc | 653 Summer St, Boston, MA 02210-2108 |
Eric J Sax | Diagnostic Radiology | Spectrum Imaging Sc | 500 Atlantic Ave, Unit 14e, Boston, MA 02210-2245 |
Brenton Kubik | Physical Therapy | Dufer LLC | 15 Channel Ctr St, Boston, MA 02210-3423 |
Kathryn Alyssa Philbrick | Physical Therapy | Dufer LLC | 15 Channel Ctr St, Boston, MA 02210-3423 |
Jia Liang Li | Physical Therapy | Dufer LLC | 15 Channel Ctr St, Boston, MA 02210-3423 |
Lauren Sterlin | Physical Therapy | Dufer LLC | 15 Channel Ctr St, Boston, MA 02210-3423 |
City | BOSTON |
Zip Code | 02210 |
Specialty | PHYSICAL THERAPY |
City + Specialty | BOSTON + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.