Jonathan C Sudol (NPI# 1033222583, PAC ID# 2365453818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1033222583 |
| PAC ID by PECOS | 2365453818 |
| Professional Enrollment ID | I20060511000274 |
| Full Name | Jonathan C Sudol |
| Organization Legal Name | MCNALLY BROTHERS |
| Address |
74 Court St Westfield MA 01085-3510 |
| Phone Number | 4135629687 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1998 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9234233966 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 123 Dwight Rd, Longmeadow, MA 01106-1893 | 4135679495 | MCNALLY BROTHERS |
| 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3216 | 4137889621 | MCNALLY BROTHERS |
| 74 Court St, Westfield, MA 01085-3510 | 4135629687 | MCNALLY BROTHERS |
| Organization Legal Name | MCNALLY BROTHERS |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Desesa | Maxillofacial Surgery | Mcnally Brothers | 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3216 |
| Brett C Denhart | Maxillofacial Surgery | Mcnally Brothers | 1066 Granby Rd, Chicopee, MA 01020-1539 |
| Anthony P Laudano | Oral Surgery | Mcnally Brothers | 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3216 |
| John W Torchia | Maxillofacial Surgery | Mcnally Brothers | 75 Van Deene Ave, Suite 201, West Springfield, MA 01089-3216 |
| Mary H Kreitzer | Oral Surgery | Mcnally Brothers | 75 Van Deene Ave, West Springfield, MA 01089-3216 |
| Edward Juozokas | Oral Surgery | Mcnally Brothers | 115 Elm St, Suite 209, Enfield, CT 06082-3735 |
| Street Address |
74 COURT ST |
| City | WESTFIELD |
| State | MA |
| Zip | 01085-3510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Schepart | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Kayla O Malley | Podiatry | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Charlotte Harward Miller | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Ashley M Hoffman | Physician Assistant | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Elizabeth A Armstrong | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Sarah Oshea | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Kelly D Burek | Podiatry | 150 Southampton Rd, Westfield, MA 01085-1370 | |
| John A Thayer | Ophthalmology | 501 Southampton Rd D, Westfield, MA 01085-1592 | |
| Ricki Ellen Kantrowitz | Psychologist, Clinical | 94 N Elm St, Suite 301a, Westfield, MA 01085-1641 | |
| Erin L Fitzgerald | Physical Therapy | 94 N Elm St, Suite 310, Westfield, MA 01085-1641 | |
| Find all physicians in zip 01085 | |||
| City | WESTFIELD |
| Zip Code | 01085 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | WESTFIELD + MAXILLOFACIAL SURGERY |
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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.