Angela Vidal-burke, MD | |
100 Hollywood Ave, Hillside, NJ 07205-2409 | |
(908) 353-7949 | |
Not Available |
Full Name | Angela Vidal-burke |
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Gender | Female |
Speciality | Family Medicine |
Location | 100 Hollywood Ave, Hillside, 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 |
---|---|---|---|
1902068075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 246056 (New York) | Secondary |
207Q00000X | Family Medicine | 25MA09156600 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Angela Vidal-burke, MD 100 Hollywood Ave, Hillside, NJ 07205-2409 Ph: (908) 353-7949 | Angela Vidal-burke, MD 100 Hollywood Ave, Hillside, NJ 07205-2409 Ph: (908) 353-7949 |
Mr. Christian Dort, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1036 N Broad St, Hillside, NJ 07205 Phone: 908-409-2121 Fax: 908-409-2119 | |
Walter Matkiwsky, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hollywood Ave, Hillside Family Practice, Hillside, NJ 07205 Phone: 908-353-7949 Fax: 908-353-8374 |