Dr Mariam Beshara, DMD | |
222 Haledon Ave, Prospect Park, NJ 07508-2024 | |
(973) 652-3093 | |
Not Available |
Full Name | Dr Mariam Beshara |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 222 Haledon Ave, Prospect Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588194914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02687600 (New Jersey) | Secondary |
122300000X | Dentist | PENDING (New Jersey) | Primary |
Entity Name | Newark Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539 |
Mailing Address | Practice Location Address |
---|---|
Dr Mariam Beshara, DMD 126 Hopper Avenue, Nutley, NJ 07110 Ph: (973) 652-3093 | Dr Mariam Beshara, DMD 222 Haledon Ave, Prospect Park, NJ 07508-2024 Ph: (973) 652-3093 |
Dr. Daniel Adam Alwan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-904-9611 | |
Jawdat Varoqua, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-790-3500 | |
Dr. Wassim Alwan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-904-9611 Fax: 973-904-0857 | |
Dr. Khaled Y Alwan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-904-9611 Fax: 973-904-0857 |