Dr Andrea S Palermo, DO | |
1125 Atlantic Ave, Atlantic City, NJ 08401 | |
(609) 348-0066 | |
(609) 348-1157 |
Full Name | Dr Andrea S Palermo |
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Gender | Female |
Speciality | Pediatrics |
Location | 1125 Atlantic Ave, Atlantic City, 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 |
---|---|---|---|
1972687085 | NPI | - | NPPES |
02588172 | Medicaid | NY | |
7666021 | Medicaid | MD | |
001776870 | Medicaid | PA | |
8255300 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MB06634300 (New Jersey) | Secondary |
208000000X | Pediatrics | 25MB06634300 (New Jersey) | Primary |
Entity Name | Southern Jersey Family Medical Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568473973 PECOS PAC ID: 0547170763 Enrollment ID: O20040917000774 |
Mailing Address | Practice Location Address |
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Dr Andrea S Palermo, DO 1 N White Horse Pike, Hammonton, NJ 08037-1875 Ph: (609) 567-0200 | Dr Andrea S Palermo, DO 1125 Atlantic Ave, Atlantic City, NJ 08401 Ph: (609) 348-0066 |
Dr. Cheryl A Kuponiyi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-601-6366 | |
Sue A. Mah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Alonso E. Concha Leon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Dr. Rolando Q. Mallari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Peggy A Solomon-bergen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-0000 Fax: 609-572-0039 | |
Dr. Edwin Lopez-bernard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-8686 Fax: 609-572-6033 |