Jeffrey Desilets, MD | |
1 N Washington Ave, Bergenfield, NJ 07621-2125 | |
(201) 384-7333 | |
Not Available |
Full Name | Jeffrey Desilets |
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Gender | Male |
Speciality | Ophthalmology |
Location | 1 N Washington Ave, Bergenfield, 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 |
---|---|---|---|
1992265029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 1014974 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | 25MA12394800 (New Jersey) | Primary |
Entity Name | Massachusetts Eye And Ear Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932574332 PECOS PAC ID: 4486540275 Enrollment ID: O20040227000123 |
Mailing Address | Practice Location Address |
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Jeffrey Desilets, MD 1 N Washington Ave, Bergenfield, NJ 07621-2125 Ph: (201) 384-7333 | Jeffrey Desilets, MD 1 N Washington Ave, Bergenfield, NJ 07621-2125 Ph: (201) 384-7333 |
Mr. Alejandro Bevacqua, MD PHYSICIAN Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 North Washington Avenue, Bergenfield, NJ 07621 Phone: 201-384-7333 Fax: 201-384-2564 | |
Jeffrey S Dello Russo, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 North Washington Avenue, Bergenfield, NJ 07621 Phone: 201-384-7333 Fax: 201-384-2564 |