Mary Joan D Gidor, MD | |
50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | |
(760) 393-0555 | |
(760) 393-0522 |
Full Name | Mary Joan D Gidor |
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Gender | Female |
Speciality | Pediatrics |
Location | 50249 Cesar Chavez St Ste K, Coachella, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720277288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME113398 (Florida) | Secondary |
208000000X | Pediatrics | MD447147 (Pennsylvania) | Secondary |
208000000X | Pediatrics | C177140 (California) | Primary |
Entity Name | Clinicas De Salud Del Pueblo Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
Mailing Address | Practice Location Address |
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Mary Joan D Gidor, MD 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 Ph: (760) 393-0555 | Mary Joan D Gidor, MD 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 Ph: (760) 393-0555 |
Nihra A Hulbert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-775-4818 | |
Dr. Catherine Maria Solares Carroll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50249 Cesar Chavez St Ste K, Coachella, CA 92236 Phone: 760-393-0555 Fax: 760-393-0522 | |
Leon Mizrahi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-775-4181 |