MEDICARE: DR. ELISABETH K DIPIETRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	159306	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417931122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELISABETH K DIPIETRO MD

Provider Business Mailing Address
First Line	:	PO BOX 9142
Second Line	:	MASS GENERAL PHYSICIAN ORGANIZATION
City	:	CHARLESTOWN
State	:	MA
Zip	:	02129-9142
Country	:	US
Telephone Number	:	617-724-0287
Fax Number	:	617-726-2894

Provider Business Practice Location Address
First Line	:	695 TRUMAN PKWY
Second Line	:	HYDE PARK PEDIATRICS
City	:	HYDE PARK
State	:	MA
Zip	:	02136-3552
Country	:	US
Telephone Number	:	617-361-1470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1942168638 — PRIMECARE MEDICAL GROUP LLC
Practice Location Address:

695 TRUMAN HWY
HYDE PARK, MA
02136-3552

Practice Phone: 857-350-6806
Practice Fax:

1609866243 — DR. ANTHONY NICHOLAS COMPAGNONE JR. MD
Practice Location Address:

695 TRUMAN PKWY
HYDE PARK, MA
02136-3552

Practice Phone: 617-361-1470
Practice Fax: 617-361-9060

1689664815 — KARA RENEE RYAN MD
Practice Location Address:

695 TRUMAN PKWY , HYDE PARK PEDIATRICS
HYDE PARK, MA
02136-3552

Practice Phone: 617-361-1470
Practice Fax:

1821072562 — DR. CAROLYN F SAX MD
Practice Location Address:

695 TRUMAN PKWY , HYDE PARK PEDIATRICS
HYDE PARK, MA
02136-3552

Practice Phone: 617-361-1470
Practice Fax: 617-361-9060

1740222876 — DR. SUSAN MYRNA WEISS PSY.D.
Practice Location Address:

695 TRUMAN PKWY
HYDE PARK, MA
02136-3552

Practice Phone: 617-361-4548
Practice Fax:

1396780011 — DR. OLUTOYIN OLUGBENGA FAYEMI M.D.
Practice Location Address:

695 TRUMAN PKWY
HYDE PARK, MA
02136-3552

Practice Phone: 617-361-1470
Practice Fax: 617-361-9060

Directions to “ DR. ELISABETH K DIPIETRO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.