Dr Jonathan Brett Wallach, MD | |
254 Easton Ave, New Brunswick, NJ 08901-1766 | |
(732) 745-8590 | |
Not Available |
Full Name | Dr Jonathan Brett Wallach |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 254 Easton Ave, New Brunswick, 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 |
---|---|---|---|
1851640700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 273533-1 (New York) | Primary |
Entity Name | Saint Peters University Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924834 PECOS PAC ID: 9931012382 Enrollment ID: O20040112000043 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Brett Wallach, MD 254 Easton Ave, New Brunswick, NJ 08901-1766 Ph: (732) 745-8590 | Dr Jonathan Brett Wallach, MD 254 Easton Ave, New Brunswick, NJ 08901-1766 Ph: (732) 745-8590 |
Dr. Daniel W Simon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 317 George St, Suite 415, New Brunswick, NJ 08901 Phone: 917-716-1567 | |
Bruce G Haffty, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 195 Little Albany St, The Cancer Institute Of New Jersey Room 2006, New Brunswick, NJ 08901 Phone: 732-235-5203 Fax: 732-235-7493 | |
Michael J Dayan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 516-484-6820 | |
Peter Jang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 89 French St, New Brunswick, NJ 08901 Phone: 732-235-7883 | |
Dr. Matthew Pierre Deek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000 | |
Alexander Z Haas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 254 Easton Ave, St Peters University Hospital Radiation Oncology Dept, New Brunswick, NJ 08901 Phone: 732-745-8530 Fax: 732-745-7607 | |
Sung N Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901 Phone: 732-253-3939 Fax: 732-235-7493 |