Dr Ilan Waldman, MD | |
10 Industrial Way E Ste 101, Eatontown, NJ 07724-3332 | |
(732) 963-9091 | |
(732) 963-9092 |
Full Name | Dr Ilan Waldman |
---|---|
Gender | Male |
Speciality | Urology |
Location | 10 Industrial Way E Ste 101, Eatontown, 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 |
---|---|---|---|
1871711655 | NPI | - | NPPES |
0222461 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 25MA08366400 (New Jersey) | Primary |
Entity Name | Barnabas Health Medical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
Entity Name | New Jersey Urologic Institute Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922086313 PECOS PAC ID: 6305833807 Enrollment ID: O20040427001311 |
Entity Name | Barnabas Health Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Mailing Address | Practice Location Address |
---|---|
Dr Ilan Waldman, MD 10 Industrial Way E, Suite 101, Eatontown, NJ 07724-3332 Ph: (732) 963-9091 | Dr Ilan Waldman, MD 10 Industrial Way E Ste 101, Eatontown, NJ 07724-3332 Ph: (732) 963-9091 |
Jules M Geltzeiler, MD Urology Medicare: Medicare Enrolled Practice Location: 10 Industrial Way E, Suite 101, Eatontown, NJ 07724 Phone: 732-963-9091 Fax: 732-963-9092 | |
Ira G Keselman, MD Urology Medicare: Medicare Enrolled Practice Location: 10 Industrial Way E Ste 101, Eatontown, NJ 07724 Phone: 732-963-9091 Fax: 732-963-9092 | |
Charles William Concodora, M.D. Urology Medicare: Medicare Enrolled Practice Location: 200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724 Phone: 732-235-7960 |