Charles William Concodora, MD | |
200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724 | |
(732) 235-7960 | |
Not Available |
Full Name | Charles William Concodora |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 200 Wyckoff Road, Eatontown, 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 |
---|---|---|---|
1942511373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 25MA10242700 (New Jersey) | Secondary |
2088P0231X | Urology - Pediatric Urology | 25MA10242700 (New Jersey) | Primary |
Entity Name | University Of Pittsburgh Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
Mailing Address | Practice Location Address |
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Charles William Concodora, MD 200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724 Ph: (732) 235-7960 | Charles William Concodora, MD 200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724 Ph: (732) 235-7960 |
Jules M Geltzeiler, MD Urology Medicare: Medicare Enrolled Practice Location: 10 Industrial Way E, Suite 101, Eatontown, NJ 07724 Phone: 732-963-9091 Fax: 732-963-9092 | |
Ira G Keselman, MD Urology Medicare: Medicare Enrolled Practice Location: 10 Industrial Way E Ste 101, Eatontown, NJ 07724 Phone: 732-963-9091 Fax: 732-963-9092 | |
Dr. Ilan Waldman, M.D. Urology Medicare: Medicare Enrolled Practice Location: 10 Industrial Way E Ste 101, Eatontown, NJ 07724 Phone: 732-963-9091 Fax: 732-963-9092 |