Dr Cherbrale Lanette Hickman, DO | |
1 Robert Wood Johnson Pl, Meb 312, New Brunswick, NJ 08901-1928 | |
(816) 547-6223 | |
Not Available |
Full Name | Dr Cherbrale Lanette Hickman |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Robert Wood Johnson Pl, New Brunswick, 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 |
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1093045973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MB08690800 (New Jersey) | Primary |
Entity Name | Coney Island Medical Practice Plan, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
Entity Name | Physician Affiliate Group Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
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Dr Cherbrale Lanette Hickman, DO 102 Royal Ct, Somerset, NJ 08873-4667 Ph: (816) 547-6223 | Dr Cherbrale Lanette Hickman, DO 1 Robert Wood Johnson Pl, Meb 312, New Brunswick, NJ 08901-1928 Ph: (816) 547-6223 |
Dr. I. Mark Hiatt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8600 Fax: 732-249-9572 | |
Lynne Weiss, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 French Street, Suite 2300, New Brunswick, NJ 08901 Phone: 732-235-6230 Fax: 732-235-6620 | |
Margaret Masterson, Pediatrics Medicare: Medicare Enrolled Practice Location: 195 Little Albany St, New Brunswick, NJ 08901 Phone: 732-235-6455 Fax: 732-235-6462 | |
Lisanne Hauck, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901 Phone: 732-235-7900 | |
Daniel Notterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901 Phone: 732-235-7900 | |
Minh-tu Do, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 Phone: 732-235-7893 Fax: 732-235-9340 | |
Christoph Ohngemach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8600 Fax: 732-745-8725 |