Dr Eduardo Javier Goenaga-diaz, MD | |
3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | |
(215) 590-1858 | |
Not Available |
Full Name | Dr Eduardo Javier Goenaga-diaz |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699955781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | MD476013 (Pennsylvania) | Primary |
207L00000X | Anesthesiology | MD476013 (Pennsylvania) | Secondary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Dr Eduardo Javier Goenaga-diaz, MD 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 Ph: (267) 425-9300 | Dr Eduardo Javier Goenaga-diaz, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-1858 |
Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507 | |
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 | |
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270 | |
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085 | |
Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000 | |
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 |