Dr Richard A Pucci, DO | |
61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | |
(201) 447-2808 | |
(201) 447-2809 |
Full Name | Dr Richard A Pucci |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 61 N Maple Ave, Ridgewood, 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 |
---|---|---|---|
1679572739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 232242 (New York) | Secondary |
208600000X | Surgery | 25MB07801000 (New Jersey) | Primary |
Entity Name | Center For Vein Restoration Nj Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710312699 PECOS PAC ID: 0042430332 Enrollment ID: O20141009000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard A Pucci, DO 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 Ph: (201) 447-2808 | Dr Richard A Pucci, DO 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 Ph: (201) 447-2808 |
Mary Ann Benigno, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 Prospect Street, Ridgewood, NJ 07450 Phone: 201-368-3699 Fax: 201-368-9633 | |
Dr. Chidambaram Raman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, West Wing, 2nd Floor, Ridgewood, NJ 07450 Phone: 201-444-4466 Fax: 201-444-6672 | |
Dr. Joshua William Bernheim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, West Wing 2nd Floor, Ridgewood, NJ 07450 Phone: 201-444-5353 Fax: 201-444-8848 | |
Dr. Anthony Enrico Pucci, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450 Phone: 201-447-2808 Fax: 201-447-2809 | |
Edward A Pucci, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450 Phone: 201-447-2808 Fax: 201-447-2809 | |
Dr. Archana Raman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave Ste 203, Ridgewood, NJ 07450 Phone: 201-444-4466 | |
Dr. Daniel Char, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-444-5353 |