Dr Fabricio Guimaraes Goncalves, MD | |
200 Landover Rd, Bryn Mawr, PA 19010-2240 | |
(267) 872-0737 | |
Not Available |
Full Name | Dr Fabricio Guimaraes Goncalves |
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Gender | Male |
Speciality | Radiology - Neuroradiology |
Location | 200 Landover Rd, Bryn Mawr, Pennsylvania |
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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1114639242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | MD478544 (Pennsylvania) | Primary |
Entity Name | Pediatric Radiology Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225178742 PECOS PAC ID: 1456341205 Enrollment ID: O20040514000295 |
Mailing Address | Practice Location Address |
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Dr Fabricio Guimaraes Goncalves, MD 200 Landover Rd, Bryn Mawr, PA 19010-2240 Ph: (267) 872-0737 | Dr Fabricio Guimaraes Goncalves, MD 200 Landover Rd, Bryn Mawr, PA 19010-2240 Ph: (267) 872-0737 |
Jennifer Marek, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr Hospital Radiology, Bryn Mawr, PA 19010 Phone: 610-429-0693 | |
Dr. Philip Yussen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 865 W Lancaster Ave, Bryn Mawr, PA 19010 Phone: 610-527-8600 Fax: 610-527-1234 | |
Dr. Hema Shailaja Thaker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Department Of Radiology, Bryn Mawr, PA 19010 Phone: 484-337-4695 | |
Brian Blumhof, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-4123 | |
Dr. James H. Jacoby, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 865 W Lancaster Ave, Bryn Mawr, PA 19010 Phone: 610-527-8600 Fax: 610-527-1234 | |
Dr. Linda M Russin, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 865 W Lancaster Ave, Bryn Mawr, PA 19010 Phone: 215-663-5910 Fax: 215-663-2451 |