Dr Mary T Kondoleon, MD | |
32 Clinton St, Paterson, NJ 07522-1775 | |
(973) 790-6594 | |
Not Available |
Full Name | Dr Mary T Kondoleon |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 32 Clinton St, Paterson, 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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1083643597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 25MA06672300 (New Jersey) | Primary |
Entity Name | Paterson Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487694832 PECOS PAC ID: 7315007333 Enrollment ID: O20140502000161 |
Mailing Address | Practice Location Address |
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Dr Mary T Kondoleon, MD 82 Ironia Rd, Mendham, NJ 07945-3129 Ph: (201) 704-0675 | Dr Mary T Kondoleon, MD 32 Clinton St, Paterson, NJ 07522-1775 Ph: (973) 790-6594 |
Donald Sgroi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 21 Market St, Family Health Center, Paterson, NJ 07501 Phone: 973-754-4200 | |
Damilola Akinola, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, #a1403, Paterson, NJ 07503 Phone: 973-754-2726 | |
Evelyn W White, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 21 Market St, Paterson, NJ 07501 Phone: 973-754-4200 Fax: 973-754-4298 | |
Monica Liriano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1044 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 | |
Aldo Khoury, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2717 | |
Dr. Somchai Kulwatdanaporn, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 645 Broadway, Paterson, NJ 07514 Phone: 201-962-8536 Fax: 201-962-8536 |