Dr Philippe Desplat, DO | |
40 Washington Ave, Valley Health Medical Group, Dumont, NJ 07628-3697 | |
(201) 387-7055 | |
(201) 387-8605 |
Full Name | Dr Philippe Desplat |
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Gender | Male |
Speciality | Family Medicine |
Location | 40 Washington Ave, Dumont, 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 |
---|---|---|---|
1033166798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MB04078200 (New Jersey) | Primary |
Entity Name | Valley Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
Mailing Address | Practice Location Address |
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Dr Philippe Desplat, DO 40 Washington Ave, Dumont, NJ 07628-3697 Ph: (201) 387-7055 | Dr Philippe Desplat, DO 40 Washington Ave, Valley Health Medical Group, Dumont, NJ 07628-3697 Ph: (201) 387-7055 |
Dr. Seena Shekari, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Washington Ave, Dumont, NJ 07628 Phone: 201-387-7055 Fax: 201-387-8605 | |
Gina Flores Cabela, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Washington Ave, Dumont, NJ 07628 Phone: 201-387-7055 Fax: 201-387-8605 | |
Danuta Stankiewicz, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Washington Ave, Dumont, NJ 07628 Phone: 201-387-7055 Fax: 201-387-8605 |