Howard M Grodman, MD | |
830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | |
(304) 388-1552 | |
(304) 388-1577 |
Full Name | Howard M Grodman |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 830 Pennsylvania Ave, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790891455 | NPI | - | NPPES |
171678 | Other | NY | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 171678 (New York) | Primary |
Entity Name | Bronxcare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
Mailing Address | Practice Location Address |
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Howard M Grodman, MD 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 Ph: (304) 388-1552 | Howard M Grodman, MD 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 Ph: (304) 388-1552 |
Dr. John M Eckerd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 Phone: 304-388-1552 Fax: 304-388-1577 | |
Jennifer Anne Hines, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Florida St, Charleston, WV 25302 Phone: 304-414-4015 Fax: 304-414-4018 | |
Jane Elizabeth Nicholas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-414-1880 Fax: 304-414-1886 | |
Afif S Habash, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-442-8117 | |
Mrs. Mary C Pozega, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5324 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-7001 Fax: 304-925-7234 | |
Youmna Mousattat, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2525 | |
Dr. Stefan Randolph Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302 Phone: 304-388-2238 Fax: 304-388-2243 |