Marc A Clachko, MD | |
130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 | |
(201) 489-2727 | |
(201) 489-5040 |
Full Name | Marc A Clachko |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 130 Kinderkamack Rd, River Edge, 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 |
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1417919622 | NPI | - | NPPES |
BP333 | Other | OXFORD PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 25MA02692200 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Marc A Clachko, MD 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 Ph: (201) 666-3900 | Marc A Clachko, MD 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661-1939 Ph: (201) 489-2727 |
Robin Levat, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 130 Kinderkamack Rd Ste 300, River Edge, NJ 07661 Phone: 201-489-2727 Fax: 201-489-5040 | |
Ira Bernstein, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661 Phone: 201-489-2727 Fax: 201-489-5040 | |
Dr. Robert James Gallo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 130 Kinderkamack Rd, Suite 300, River Edge, NJ 07661 Phone: 201-489-2727 Fax: 201-489-5040 |