Dr Constantinos Kintiroglou, MD | |
1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956 | |
(973) 243-0002 | |
(973) 243-1227 |
Full Name | Dr Constantinos Kintiroglou |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1500 Pleasant Valley Way, West Orange, 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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1205966124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | MA03124000 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Dr Constantinos Kintiroglou, MD 357 Walnut St, Livingston, NJ 07039-5011 Ph: (973) 740-0548 | Dr Constantinos Kintiroglou, MD 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956 Ph: (973) 243-0002 |
Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153 | |
Dr. Seth Ness, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Marcy Pl, West Orange, NJ 07052 Phone: 973-669-9764 | |
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
Marianne Jacob, Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |