Dr Glenn Advincula Salcedo, MD | |
21 S Hope Chapel Rd Ste 131, Jackson, NJ 08527-5000 | |
(732) 363-1424 | |
(732) 370-0714 |
Full Name | Dr Glenn Advincula Salcedo |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 21 S Hope Chapel Rd Ste 131, Jackson, 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 |
---|---|---|---|
1386679645 | NPI | - | NPPES |
2626608 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA06167800 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
Mailing Address | Practice Location Address |
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Dr Glenn Advincula Salcedo, MD 21 S Hope Chapel Rd Ste 131, Jackson, NJ 08527-5000 Ph: (732) 363-1424 | Dr Glenn Advincula Salcedo, MD 21 S Hope Chapel Rd Ste 131, Jackson, NJ 08527-5000 Ph: (732) 363-1424 |
Dr. Tehsin Riaz Qudsi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 S Cooks Bridge Rd, Suite 2-21, Jackson, NJ 08527 Phone: 732-987-5733 Fax: 732-987-5729 | |
Alberto M Chavez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Stamford Dr, Jackson, NJ 08527 Phone: 908-642-0144 | |
Esther Terebelo, CAS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Neal St, Jackson, NJ 08527 Phone: 732-299-5897 | |
Dr. Steve John Stavrellis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 S Hope Chapel Rd Ste 131, Jackson, NJ 08527 Phone: 732-363-1424 Fax: 732-370-0714 | |
Dr. Edwin Wymer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 27 S. Cooks Bridge Rd., Suite 2-21, Jackson, NJ 08527 Phone: 732-987-5733 | |
Anil K Pawa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 27 S Cooks Bridge Rd, Suite 2-21, Jackson, NJ 08527 Phone: 732-987-5733 Fax: 732-987-5729 |