Angel Gabriel Chinea Vicente, MD | |
1680 Route 23, Wayne, NJ 07470-7501 | |
(973) 633-1122 | |
Not Available |
Full Name | Angel Gabriel Chinea Vicente |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 1680 Route 23, Wayne, 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 |
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1689107054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 25MA12175900 (New Jersey) | Primary |
Entity Name | North Jersey Spine Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841375300 PECOS PAC ID: 5597859884 Enrollment ID: O20070918000081 |
Mailing Address | Practice Location Address |
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Angel Gabriel Chinea Vicente, MD 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 Ph: (813) 250-2506 | Angel Gabriel Chinea Vicente, MD 1680 Route 23, Wayne, NJ 07470-7501 Ph: (973) 633-1122 |
David C Sundstrom, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Rajnik W Raab, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Dr. Shiveindra B Jeyamohan, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 |