Dr Mary Siciliano, DO | |
755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865-2748 | |
(908) 454-6303 | |
(908) 454-2289 |
Full Name | Dr Mary Siciliano |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 755 Memorial Pkwy, Phillipsburg, 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 |
---|---|---|---|
1205834454 | NPI | - | NPPES |
7237308 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MB62184 (New Jersey) | Primary |
Entity Name | St Lukes Warren Physician Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679847396 PECOS PAC ID: 9739093675 Enrollment ID: O20040323000967 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Siciliano, DO Po Box 27957, Salt Lake City, UT 84127-0957 Ph: (908) 835-1910 | Dr Mary Siciliano, DO 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865-2748 Ph: (908) 454-6303 |
Kathryn D Viotto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-847-3300 Fax: 908-847-2889 | |
Dr. Alan Remde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 866-281-6023 | |
Shilpa Reddy, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Strykers Rd Ste 1, Phillipsburg, NJ 08865 Phone: 908-847-6568 Fax: 866-278-3009 | |
Dr. Raymond S Buch, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 908-454-2289 | |
Alexis Laguna, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-847-3334 | |
Ileana Ortiz-evans, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Us Route 22, Phillipsburg, NJ 08865 Phone: 908-213-2211 Fax: 908-213-9913 | |
Dr. Ebere N Ezeanya, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 445 Marshall St, Phillipsburg, NJ 08865 Phone: 609-582-0899 |