Dr Maria Theresa Micale, DO | |
225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | |
(732) 530-5515 | |
(732) 530-5516 |
Full Name | Dr Maria Theresa Micale |
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Gender | Female |
Speciality | Pediatrics |
Location | 225 Highway 35 Ste 102, Red Bank, 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 |
---|---|---|---|
1619949252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB06865200 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Dr Maria Theresa Micale, DO 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: (732) 530-5515 | Dr Maria Theresa Micale, DO 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 Ph: (732) 530-5515 |
Dr. Yuliya Tsimring, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 529 Hwy 35, Red Bank, NJ 07701 Phone: 732-741-9800 Fax: 732-758-6367 | |
Dr. Marianne Elizabeth De Gennaro, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 370 Hwy 35, Suite 200, Red Bank, NJ 07701 Phone: 732-530-5437 Fax: 732-219-5437 | |
Dr. Michael Markoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 529 Highway 35, Red Bank, NJ 07701 Phone: 732-741-9800 Fax: 732-758-6367 | |
Dr. Sajidah Ijaz Husain, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 211 Shrewsbury Ave, Red Bank, NJ 07701 Phone: 732-212-0777 | |
Dr. Michelle Badorf Litsky, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 272 Broad St, Red Bank, NJ 07701 Phone: 732-741-0456 | |
Charlie Jijer Changchien, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Riverview Plz, Millennium Pediatric Care, Riverview Medical Center, Red Bank, NJ 07701 Phone: 732-450-2801 Fax: 732-450-2802 | |
Joel Barry Edman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 529 State Route 35, Red Bank, NJ 07701 Phone: 732-741-9800 Fax: 732-758-6367 |