Anup Hazra, | |
1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | |
(908) 273-4300 | |
(908) 277-8756 |
Full Name | Anup Hazra |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1 Diamond Hill Rd, Berkeley Heights, 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 |
---|---|---|---|
1285709311 | NPI | - | NPPES |
7093608 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MA52791 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Entity Name | Rutgers Health-rwj Pathology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538173539 PECOS PAC ID: 8921090663 Enrollment ID: O20040401000743 |
Entity Name | Mario Gonzalez, Md |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942498985 PECOS PAC ID: 3779509641 Enrollment ID: O20051020000084 |
Mailing Address | Practice Location Address |
---|---|
Anup Hazra, 66 W Gilbert St, 2nd Floor, Tinton Falls, NJ 07701-4947 Ph: (732) 212-0051 | Anup Hazra, 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 |
Nikolay D Dimov, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8699 Fax: 908-673-7388 | |
Dr. Ruchi Jha, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8699 Fax: 908-673-7388 | |
Pritish Bhattacharyya, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 | |
Mr. Ara Meradian, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8699 Fax: 908-673-7388 | |
Gabriel S Levi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd Fl G, Berkeley Heights, NJ 07922 Phone: 908-277-8699 Fax: 908-673-7388 | |
John Paul Bouffard, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd Fl G, Berkeley Heights, NJ 07922 Phone: 908-277-8699 Fax: 908-673-7388 |