Ms Shara Rose Bialo, MD | |
1280 Almonesson Road, Deptford, NJ 08096-5502 | |
(856) 537-7060 | |
(856) 805-9370 |
Full Name | Ms Shara Rose Bialo |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 1280 Almonesson Road, Deptford, 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 |
---|---|---|---|
1700028396 | NPI | - | NPPES |
7772050-00 | Medicaid | MD | |
103170259 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | C1-0011723 (Delaware) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 25MA09880800 (New Jersey) | Primary |
Entity Name | Cooper Pediatric Specialists, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 |
Entity Name | Nemours New Jersey Physician Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265874713 PECOS PAC ID: 4486871159 Enrollment ID: O20140805000413 |
Mailing Address | Practice Location Address |
---|---|
Ms Shara Rose Bialo, MD Po Box 191, Provider Enrollment, Rockland, DE 19732-0191 Ph: () - | Ms Shara Rose Bialo, MD 1280 Almonesson Road, Deptford, NJ 08096-5502 Ph: (856) 537-7060 |
Dr. Maryann Laudati, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
Dr. Salma Alikhan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
Dr. Angelo L. Minutillo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
Dr. Pierre N. Coant, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
Dr. Kimberly Mae Mangubat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
Dr. Rima H Himelstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1280 Almonesson Rd, Deptford, NJ 08096 Phone: 856-345-1401 |