Laurence Gruenwald, MD | |
90 Millburn Ave, Suite 101, Millburn, NJ 07041-1945 | |
(973) 378-7990 | |
(973) 378-7991 |
Full Name | Laurence Gruenwald |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 90 Millburn Ave, Millburn, 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 |
---|---|---|---|
1508868191 | NPI | - | NPPES |
1647300 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA03453900 (New Jersey) | Primary |
Entity Name | Gruenwald Comandatore Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811999410 PECOS PAC ID: 0345537775 Enrollment ID: O20160928000904 |
Mailing Address | Practice Location Address |
---|---|
Laurence Gruenwald, MD 90 Millburn Ave, Suite 101, Millburn, NJ 07041-1945 Ph: (973) 378-7990 | Laurence Gruenwald, MD 90 Millburn Ave, Suite 101, Millburn, NJ 07041-1945 Ph: (973) 378-7990 |
Kelly P Knowles, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 159 Millburn Ave, Ste 1, Millburn, NJ 07041 Phone: 973-912-0155 Fax: 973-912-8714 | |
Dr. Subita S Mangru, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 159 Millburn Ave, Millburn, NJ 07041 Phone: 973-912-0155 Fax: 973-912-8714 | |
Sharon Spiteri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Millburn Ave, Suite 101, Millburn, NJ 07041 Phone: 973-378-7990 Fax: 973-378-7991 | |
Mara Sterio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Millburn Ave, Ste 101, Millburn, NJ 07041 Phone: 973-378-7990 Fax: 973-378-7991 | |
William F Kottler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 48 Essex St, Millburn, NJ 07041 Phone: 973-218-0900 Fax: 973-218-0909 | |
Dr. Yanina Meshko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Millburn Ave, Suite 101, Millburn, NJ 07041 Phone: 973-378-7990 Fax: 973-378-7991 | |
Dr. Shruti Chakrabarti Ramesh, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 90 Millburn Ave, Suite 101, Millburn, NJ 07041 Phone: 973-378-7990 Fax: 973-378-7991 |