Ida A Miguelino, MD | |
1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 | |
(908) 273-4300 | |
(908) 769-2516 |
Full Name | Ida A Miguelino |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Diamond Hill Rd, Berkeley Heights, 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 |
---|---|---|---|
1285614800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA65729 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
---|---|
Ida A Miguelino, MD 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Ida A Miguelino, MD 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 |
Dr. Paul B Avondoglio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-790-6524 | |
Donna L Lupski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-277-8706 | |
Dr. Henry Peter Schwerner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 115 Wentworth Drive, Berkeley Heights, NJ 07922 Phone: 908-419-8465 | |
Dr. Maria Gatoulis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8601 Fax: 908-277-8706 | |
Dr. Ghitta Eibschutz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-228-3621 | |
Stacey Tavel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8601 Fax: 908-277-8706 |