Dr Glenn M Dragon, MD | |
509 N Broad St, Woodbury, NJ 08096-1617 | |
(856) 848-4464 | |
(856) 848-7023 |
Full Name | Dr Glenn M Dragon |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 509 N Broad St, Woodbury, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275528366 | NPI | - | NPPES |
25MA56860 | Other | NJ | MEDI CAL LICENSE |
D05550100 | Other | NJ | CDS |
6566405 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA05686000 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inspira Medical Center Elmer | Elmer, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Jersey Anesthesia And Pain Physicians Pc | 0840181152 | 37 |
Dimarino Kroop Prieto Gastrointestinal Associates Pa | 8325933906 | 21 |
Entity Name | Dimarino Kroop Prieto Gastrointestinal Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962422295 PECOS PAC ID: 8325933906 Enrollment ID: O20040220001101 |
Entity Name | South Jersey Anesthesia And Pain Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700821352 PECOS PAC ID: 0840181152 Enrollment ID: O20040324000439 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn M Dragon, MD 509 N Broad St, Woodbury, NJ 08096-1617 Ph: (856) 845-0100 | Dr Glenn M Dragon, MD 509 N Broad St, Woodbury, NJ 08096-1617 Ph: (856) 848-4464 |
Maria Teresa R Valencia, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 509 N Broad St, 3rd Floor Underwood Memorial Hospital, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-853-9334 | |
Dr. Abraham Cherian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-845-0100 | |
Dr. Gregg M Saldutti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-845-0100 Fax: 856-848-7023 |