Matthew L Moront, MD | |
1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | |
(302) 651-4200 | |
(302) 651-4945 |
Full Name | Matthew L Moront |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 1600 Rockland Rd, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508814146 | NPI | - | NPPES |
0017693480003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | MD068661L (Pennsylvania) | Primary |
2086S0120X | Surgery - Pediatric Surgery | 25MA07298100 (New Jersey) | Secondary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
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Matthew L Moront, MD Po Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Matthew L Moront, MD 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Dr. Chukwuemeka Felix Mbadiwe, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1405 Fresno Rd, Wilmington, DE 19803 Phone: 302-477-0752 Fax: 302-477-0752 | |
Dr. Kirk W. Reichard, MD Surgery Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
Dr. Matthew Mikhail Boelig, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 | |
Dr. Michael B Goldberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W 14th St, Wilmington, DE 19801 Phone: 302-320-4175 | |
Ms. Analene Tunacao, CRNP Surgery Medicare: Not Enrolled in Medicare Practice Location: 1601 Kirkwood Hwy, Wilmington, DE 19805 Phone: 302-994-2511 | |
Dr. Charles D. Vinocur, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
Dr. Stephen G. Murphy, MD Surgery Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 |