Dr Teimouraz Vassilidze, MD | |
225 Williamson Street, Elizabeth, NJ 07202 | |
(908) 994-5204 | |
Not Available |
Full Name | Dr Teimouraz Vassilidze |
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Gender | Male |
Speciality | Anesthesiology |
Location | 225 Williamson Street, Elizabeth, 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 |
---|---|---|---|
1649299553 | NPI | - | NPPES |
7966806 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 291354 (New York) | Secondary |
207L00000X | Anesthesiology | 25MA06904200 (New Jersey) | Primary |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Mailing Address | Practice Location Address |
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Dr Teimouraz Vassilidze, MD 20 Sherwood Dr, Watchung, NJ 07069-6136 Ph: () - | Dr Teimouraz Vassilidze, MD 225 Williamson Street, Elizabeth, NJ 07202 Ph: (908) 994-5204 |
Dr. Steven Evaristo Carvalho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 225 Williamson St, 2 South, Elizabeth, NJ 07202 Phone: 908-994-5390 | |
Edward Shen, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 219 S Broad St, Suite 2, Elizabeth, NJ 07202 Phone: 201-877-0518 Fax: 908-352-6181 | |
Leon Pirak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 225 Williamson Street, Elizabeth, NJ 07207 Phone: 908-944-5204 | |
Yasmeen Khan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Elmora Ave, Elizabeth, NJ 07202 Phone: 201-560-7611 | |
Abir Adam, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 225 Williamson St, Elizabeth, NJ 07202 Phone: 908-994-5204 | |
Kruti Parikh, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 225 Williamson St, Elizabeth, NJ 07202 Phone: 908-994-5204 | |
Alexandr Zaitsev, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 225 Williamson St, Elizabeth, NJ 07202 Phone: 908-944-5204 |