Charles Evans Iii, MD | |
755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865-2748 | |
(908) 454-3737 | |
(908) 454-0402 |
Full Name | Charles Evans Iii |
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Gender | Male |
Speciality | Pediatrics |
Location | 755 Memorial Pkwy, Phillipsburg, 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 |
---|---|---|---|
1669432472 | NPI | - | NPPES |
8353107 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MA69049 (New Jersey) | Primary |
Entity Name | New Beginnings Pediatrics, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386830057 PECOS PAC ID: 3375779069 Enrollment ID: O20131203000519 |
Mailing Address | Practice Location Address |
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Charles Evans Iii, MD 10 Brass Castle Rd, Washington, NJ 07882-4327 Ph: (908) 835-1910 | Charles Evans Iii, MD 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865-2748 Ph: (908) 454-3737 |
Victor R Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865 Phone: 908-454-3737 Fax: 908-454-0402 | |
Armi T Sion, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865 Phone: 908-454-3737 Fax: 908-454-0402 | |
Dr. Sam Kwang Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 228 Roseberry St, Suite # 3, Phillipsburg, NJ 08865 Phone: 908-454-4545 Fax: 908-454-3227 | |
Bryn Olivia Griffith, Pediatrics Medicare: Medicare Enrolled Practice Location: 755 Memorial Pkwy Ste 115, Phillipsburg, NJ 08865 Phone: 484-658-5437 |