Elizabeth Dutweiler, | |
4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | |
(302) 733-1042 | |
Not Available |
Full Name | Elizabeth Dutweiler |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 4755 Ogletown Stanton Rd, Newark, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174056386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD477146 (Pennsylvania) | Primary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Dutweiler, 269 Rambling Rd, East Amherst, NY 14051-1358 Ph: (716) 866-9293 | Elizabeth Dutweiler, 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 Ph: (302) 733-1042 |
Dr. Kristina Siddall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Department Of Radiology, Newark, DE 19718 Phone: 302-733-1806 Fax: 302-733-1808 | |
Scot E. Goldberg, D.O. Radiology Medicare: Medicare Enrolled Practice Location: J24 Omega Drive, Newark, DE 19713 Phone: 302-738-9100 Fax: 302-738-9748 | |
Rabia Hasan, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1041 Fax: 302-733-1068 | |
Dr. Leonard Rosenbaum, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, Department Of Radiology, Newark, DE 19718 Phone: 302-733-1806 Fax: 302-733-1808 | |
Barbara J Albani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown - Stanton Road, Suite 1e10, Newark, DE 19718 Phone: 302-733-1487 Fax: 302-733-1888 | |
Richard L Ward, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Peoples Plz, Newark, DE 19702 Phone: 302-392-5600 Fax: 302-392-5617 | |
Sara C. Gavenonis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Dept Of Radiology, Christiana Care Health Services, Newark, DE 19718 Phone: 302-733-1806 |