Lucas Riabowol, | |
1 Howell Rd, Bridgewater, NJ 08807-3800 | |
(908) 642-5125 | |
Not Available |
Full Name | Lucas Riabowol |
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Gender | Male |
Speciality | Dentist |
Location | 1 Howell Rd, Bridgewater, 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 |
---|---|---|---|
1295395960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02758600 (New Jersey) | Primary |
Entity Name | Star Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
Mailing Address | Practice Location Address |
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Lucas Riabowol, 1 Howell Rd, Bridgewater, NJ 08807-3800 Ph: (908) 642-5125 | Lucas Riabowol, 1 Howell Rd, Bridgewater, NJ 08807-3800 Ph: (908) 642-5125 |
Dr. Christopher Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 475 N Bridge St, Bridgewater, NJ 08807 Phone: 908-947-0320 | |
Sandeep Kaur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2503 Pinhorn Dr, Bridgewater, NJ 08807 Phone: 908-541-0798 | |
Dr. Shelby Sox, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 216 Finderne Ave, Bridgewater, NJ 08807 Phone: 908-722-6116 | |
Dr. Robert L Sanford, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1353 Prince Rodgers Ave, Bridgewater, NJ 08807 Phone: 908-722-5233 Fax: 908-722-2332 | |
Dr. Dominick Joachin Ambroise, D.D.S., M.A. Dentist Medicare: Medicare Enrolled Practice Location: 475 N Bridge St, Bridgewater, NJ 08807 Phone: 908-947-0320 | |
John Petrocelli, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 Branch Rd, Bridgewater, NJ 08807 Phone: 908-218-1788 | |
Dr. David M. Weedon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 720 Route 202/206, Bridgewater, NJ 08807 Phone: 908-707-1133 Fax: 908-707-4665 |