Dr Mary A Ravelo, MD | |
211 Pennington Ave, Passaic, NJ 07055-4617 | |
(973) 470-3000 | |
Not Available |
Full Name | Dr Mary A Ravelo |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 211 Pennington Ave, Passaic, 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 |
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1497809339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | MA068751 (New Jersey) | Primary |
Entity Name | Barnabas Health Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
Mailing Address | Practice Location Address |
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Dr Mary A Ravelo, MD 211 Pennington Ave, Passaic, NJ 07055-4617 Ph: () - | Dr Mary A Ravelo, MD 211 Pennington Ave, Passaic, NJ 07055-4617 Ph: (973) 470-3000 |
Dr. Pamela Yvette Williams, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 Lexington Ave, Passaic, NJ 07055 Phone: 973-471-8006 Fax: 973-471-1630 | |
Dr. Armando Medina Braganza, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 530 Main Avenue, St Marys Hospital Seton Center, Passaic, NJ 07055 Phone: 973-470-3514 Fax: 973-470-3515 |