Laura Criscenzo, DO | |
128 Columbia Tpke, Florham Park, NJ 07932-2283 | |
(973) 992-5588 | |
(973) 992-1005 |
Full Name | Laura Criscenzo |
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Gender | Female |
Speciality | Pediatrics |
Location | 128 Columbia Tpke, Florham Park, 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 |
---|---|---|---|
1992237606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB10814000 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Laura Criscenzo, DO Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Laura Criscenzo, DO 128 Columbia Tpke, Florham Park, NJ 07932-2283 Ph: (973) 992-5588 |
Dr. Mojgan Behbakht, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 29 Columbia Turnpike, Ste 201, Florham Park, NJ 07932 Phone: 973-410-0422 Fax: 973-410-1057 | |
Amy Bailon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Woodbine Rd, Florham Park, NJ 07932 Phone: 973-966-1446 Fax: 973-966-1446 | |
Allison Ann Sopko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 195 Columbia Tpke Ste 105, Florham Park, NJ 07932 Phone: 973-437-8300 Fax: 973-845-2883 | |
Dr. Arthur Stuart Butensky, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 128 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-992-5588 Fax: 973-992-1005 | |
Dr. Harold S. Bernstein, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 603 Sterling Dr, Florham Park, NJ 07932 Phone: 415-407-3907 |