Louis J Tesoro, MD | |
281 Witherspoon St Ste 200, Princeton, NJ 08540-3224 | |
(609) 924-4892 | |
(609) 921-9380 |
Full Name | Louis J Tesoro |
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Gender | Male |
Speciality | Pediatrics |
Location | 281 Witherspoon St Ste 200, Princeton, 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 |
---|---|---|---|
1982773461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA05126600 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Louis J Tesoro, MD 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: (609) 924-4892 | Louis J Tesoro, MD 281 Witherspoon St Ste 200, Princeton, NJ 08540-3224 Ph: (609) 924-4892 |
Dr. David Shawn Pierson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 N Harrison St, Princeton, NJ 08540 Phone: 609-924-5510 Fax: 609-924-3577 | |
Peter Phillip Pellegrino, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 N Harrison St, Princeton, NJ 08540 Phone: 609-924-5510 | |
Dr. Melissa Marks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Washington Rd, Princeton, NJ 08544 Phone: 609-258-3141 | |
Dr. Kendra Walker Sirolly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 281 Witherspoon St Ste 200, Princeton, NJ 08540 Phone: 609-924-4892 Fax: 609-921-9380 | |
Dr. Michael Justin Riggall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 N Harrison St, Princeton, NJ 08540 Phone: 609-924-5510 | |
Jenitta Kwong, M.D./M.P.H. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 N Harrison St, Princeton, NJ 08540 Phone: 609-924-5510 Fax: 609-924-3577 | |
Dr. Gary Alan Herman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 Arreton Rd, Princeton, NJ 08540 Phone: 732-501-5193 Fax: 801-457-3121 |