Dr Nicole Marie Pantano, DO | |
1 Bethany Rd, Building 5, Suite 65, Hazlet, NJ 07730-1663 | |
(732) 264-0700 | |
Not Available |
Full Name | Dr Nicole Marie Pantano |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Bethany Rd, Hazlet, 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 |
---|---|---|---|
1033353933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB08570100 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
Mailing Address | Practice Location Address |
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Dr Nicole Marie Pantano, DO 1 Bethany Rd, Building 5, Suite 65, Hazlet, NJ 07730-1663 Ph: (732) 264-0700 | Dr Nicole Marie Pantano, DO 1 Bethany Rd, Building 5, Suite 65, Hazlet, NJ 07730-1663 Ph: (732) 264-0700 |
Neal Ruda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd, Building 5; Suite 65, Hazlet, NJ 07730 Phone: 732-264-0700 Fax: 732-264-1414 | |
Rocco F Pascucci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd, Building 5; Suite 65, Hazlet, NJ 07730 Phone: 732-264-0700 Fax: 732-264-1414 | |
Harold J Sleavin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd, Building 5;suite 65, Hazlet, NJ 07730 Phone: 732-264-0700 Fax: 732-264-1414 | |
Andrew S Burstiner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd, Building 5;suite 65, Hazlet, NJ 07730 Phone: 732-264-0700 Fax: 732-264-1414 | |
Dr. Munawara Shahnaz Khuddus, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 51 Village Ct, Hazlet, NJ 07730 Phone: 732-739-1908 Fax: 732-739-1565 | |
Mary A Fury, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: One Bethany Road, Building 5 Suite 65, Hazlet, NJ 07730 Phone: 732-264-0700 Fax: 732-264-1414 |