Dustin L Cotliar (NPI# 1649665233, PAC ID# 1850646878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1649665233 |
| PAC ID by PECOS | 1850646878 |
| Professional Enrollment ID | I20180615000531 |
| Full Name | Dustin L Cotliar |
| Organization Legal Name | SOUTH SHORE HEALTH EXPRESS, INC |
| Address |
330 Washington St Weymouth MA 02188-2932 |
| Phone Number | 7816265160 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6406108836 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 330 Washington St, Weymouth, MA 02188-2932 | 7816265160 | SOUTH SHORE HEALTH EXPRESS, INC |
| Organization Legal Name | SOUTH SHORE HEALTH EXPRESS, INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry F Canavan | Physician Assistant | South Shore Health Express, Inc | 119 Parkingway, Quincy, MA 02169-5044 |
| David Franklin Bond | Physician Assistant | South Shore Health Express, Inc | 170 Bedford St, Abington, MA 02351-2068 |
| Antoinette E Eng | Emergency Medicine | South Shore Health Express, Inc | 330 Washington St, Weymouth, MA 02188-2932 |
| Patricia E Sullivan | Emergency Medicine | South Shore Health Express, Inc | 119 Parkingway, Quincy, MA 02169-5044 |
| Francis P Duggan | Emergency Medicine | South Shore Health Express, Inc | 170 Bedford St, Abington, MA 02351-2068 |
| Phyllis M Tedeschi | Nurse Practitioner | South Shore Health Express, Inc | 119 Parkingway, Quincy, MA 02169-5044 |
| Emil R Reinhalter | Emergency Medicine | South Shore Health Express, Inc | 119 Parkingway, Quincy, MA 02169-5044 |
| Ryan C Gallo | Physician Assistant | South Shore Health Express, Inc | 119 Parkingway, Quincy, MA 02169-5044 |
| Therese M Redmond | Nurse Practitioner | South Shore Health Express, Inc | 330 Washington St, Weymouth, MA 02188-2932 |
| Justine M Malone | Nurse Practitioner | South Shore Health Express, Inc | 170 Bedford St, Abington, MA 02351-2068 |
| Street Address |
330 WASHINGTON ST |
| City | WEYMOUTH |
| State | MA |
| Zip | 02188-2932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankit Gupta | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Ricardo M Young | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 330 Washington St, Suite 410, Norwich, CT 06360-2700 |
| Kandhasam Jagathambal | Medical Oncology | Eastern Connecticut Hematology and Oncology Associates PC | 330 Washington St, Suite 220, Norwich, CT 06360-2700 |
| Franklin P Friedman | Urology | Hartford Healthcare Medical Group Specialists LLC | 330 Washington St, Suite 350, Norwich, CT 06360-2700 |
| Brandon C Stahl | Urology | Hartford Healthcare Medical Group Specialists LLC | 330 Washington St, Suite 350, Norwich, CT 06360-2700 |
| Jose Angelo De Dios | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Donna M Romito | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Antoinette E Eng | Emergency Medicine | South Shore Health Express, Inc | 330 Washington St, Weymouth, MA 02188-2932 |
| Atul Palkar | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Gregory R Criscuolo | Neurosurgery | 330 Washington St, Suite 540, Norwich, CT 06360-2700 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tenzin Choephel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Emily Clipston | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Erin Dewey | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| David Clarke | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Alexandra Windwer | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Jordan Beguerie | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Erin L Mason | Occupational Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Timothy Mchale | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Alec Ceccon | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Kendall Percich | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Find all physicians in zip 02188 | |||
| City | WEYMOUTH |
| Zip Code | 02188 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WEYMOUTH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Dustin L Cotliar.
| 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.