Dr Hisham H Gadalla, MD | |
1135 Main Ave Fl 2, Clifton, NJ 07011-2353 | |
(973) 928-3388 | |
(973) 928-3388 |
Full Name | Dr Hisham H Gadalla |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1135 Main Ave Fl 2, Clifton, 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 |
---|---|---|---|
1689666257 | NPI | - | NPPES |
0008265 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA07589300 (New Jersey) | Primary |
Entity Name | Fayrouz Pediatric Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154571222 PECOS PAC ID: 6002965209 Enrollment ID: O20090519000025 |
Mailing Address | Practice Location Address |
---|---|
Dr Hisham H Gadalla, MD 238 Old Wagon Rd, Franklin Lakes, NJ 07417-1626 Ph: (973) 928-3388 | Dr Hisham H Gadalla, MD 1135 Main Ave Fl 2, Clifton, NJ 07011-2353 Ph: (973) 928-3388 |
Tadeusz Jedlinski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 Mount Prospect Ave, Ste.202, Clifton, NJ 07013 Phone: 973-458-0407 Fax: 973-458-0889 | |
Katlyne Lubin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 Broad St, Clifton, NJ 07013 Phone: 888-244-5373 Fax: 973-365-3089 | |
Jagdish Seth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1115 Clifton Ave Ste 101, Clifton, NJ 07013 Phone: 973-250-2970 | |
Mirian Dolores Lugo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 344 Clifton Ave, Clifton, NJ 07011 Phone: 973-435-4545 Fax: 973-928-1899 | |
Janette Basta, Pediatrics Medicare: Medicare Enrolled Practice Location: 1035 Us Highway 46, Clifton, NJ 07013 Phone: 973-249-9620 | |
Lai Ping Lew-zeisel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 246 Clifton Ave, Clifton, NJ 07011 Phone: 973-478-9299 Fax: 973-478-9652 | |
Dr. Deniz Burton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 296 Clifton Ave, Clifton, NJ 07011 Phone: 973-249-8211 |