Justin Todd Sambol, MD | |
150 Bergen St, F 102, Newark, NJ 07103-2496 | |
(973) 972-3555 | |
(973) 972-3510 |
Full Name | Justin Todd Sambol |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 150 Bergen St, Newark, 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 |
---|---|---|---|
1376523266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MA068900 (New Jersey) | Primary |
Entity Name | University Physician Associates Of New Jersey Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906 |
Mailing Address | Practice Location Address |
---|---|
Justin Todd Sambol, MD Po Box 18925, Newark, NJ 07191-8925 Ph: (973) 972-3555 | Justin Todd Sambol, MD 150 Bergen St, F 102, Newark, NJ 07103-2496 Ph: (973) 972-3555 |
Sunil Prakash Malhotra, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Suite L5, Newark, NJ 07112 Phone: 973-926-3500 | |
Dr. Meena Nathan, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, L5, Childrens Heart Center, Nbimc, Newark, NJ 07112 Phone: 973-926-4900 Fax: 973-926-8206 | |
Igor Gosev, MD, PHD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave # L5, Newark, NJ 07112 Phone: 973-926-6938 | |
Katherine Leigh Wood, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave Ste G5, Newark, NJ 07112 Phone: 973-926-6938 Fax: 973-923-4683 | |
Constantinos J Lovoulos, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Uh F-102, Newark, NJ 07103 Phone: 973-972-3555 Fax: 973-972-3510 |