Melissa Wallach, MD | |
516 Bangs Ave, Asbury Park, NJ 07712-6902 | |
(732) 774-0262 | |
Not Available |
Full Name | Melissa Wallach |
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Gender | Female |
Speciality | Pediatrics |
Location | 516 Bangs Ave, Asbury Park, 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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1538189832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA07548800 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
Mailing Address | Practice Location Address |
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Melissa Wallach, MD 1944 Route 33, Suite 204 Second Floor, Neptune, NJ 07753-2016 Ph: (908) 675-4385 | Melissa Wallach, MD 516 Bangs Ave, Asbury Park, NJ 07712-6902 Ph: (732) 774-0262 |
Dr. Nilay Manojkumar Baxi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 507 4th Ave, Asbury Park, NJ 07712 Phone: 732-774-5600 | |
Dr. Sudhakar J Kharod, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 507 4th Ave, Asbury Park, NJ 07712 Phone: 732-774-5600 | |
Amy E Peardon, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Bangs Ave, Asbury Park, NJ 07712 Phone: 732-774-0262 Fax: 732-775-8963 |