Dr Ebere N Ezeanya, MD | |
445 Marshall St, Phillipsburg, NJ 08865-2695 | |
(609) 582-0899 | |
Not Available |
Full Name | Dr Ebere N Ezeanya |
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Gender | Female |
Speciality | Family Medicine |
Location | 445 Marshall St, 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 |
---|---|---|---|
1053547919 | NPI | - | NPPES |
0357367 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD469728 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 25MA09219400 (New Jersey) | Primary |
Entity Name | Nj South Coast Medical Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952739690 PECOS PAC ID: 2567690761 Enrollment ID: O20140115001270 |
Mailing Address | Practice Location Address |
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Dr Ebere N Ezeanya, MD 532 City View Dr, Nazareth, PA 18064-1244 Ph: (973) 704-5644 | Dr Ebere N Ezeanya, MD 445 Marshall St, Phillipsburg, NJ 08865-2695 Ph: (609) 582-0899 |
Kathryn D Viotto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-847-3300 Fax: 908-847-2889 | |
Dr. Alan Remde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 866-281-6023 | |
Shilpa Reddy, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Strykers Rd Ste 1, Phillipsburg, NJ 08865 Phone: 908-847-6568 Fax: 866-278-3009 | |
Dr. Raymond S Buch, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 908-454-2289 | |
Alexis Laguna, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-847-3334 | |
Ileana Ortiz-evans, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Us Route 22, Phillipsburg, NJ 08865 Phone: 908-213-2211 Fax: 908-213-9913 |