Dr Stephanie Anne Grayson, MD | |
65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240-9102 | |
(609) 652-1000 | |
Not Available |
Full Name | Dr Stephanie Anne Grayson |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 65 W Jimmie Leeds Rd, Pomona, 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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1164613477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 25MA09257400 (New Jersey) | Primary |
Entity Name | Children's Health Care Associates Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427152917 PECOS PAC ID: 1052219110 Enrollment ID: O20031229000053 |
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 |
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Dr Stephanie Anne Grayson, MD 100 E Penn Sq Fl 9, Philadelphia, PA 19107-3323 Ph: (267) 425-9234 | Dr Stephanie Anne Grayson, MD 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240-9102 Ph: (609) 652-1000 |
Dr. Taral Divyakant Mehta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988 | |
Dr. Jennifer Tioseco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816 Fax: 609-404-3818 | |
Cynthia D. Villasis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816 | |
Dr. Mark F. Ditmar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988 | |
Benedict E Asiegbu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 302-651-4945 | |
Dr. Pietros Hadgu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-404-3818 |