Olivia Shanee Grant, MD | |
7600 River Rd, North Bergen, NJ 07047-6217 | |
(201) 854-5100 | |
Not Available |
Full Name | Olivia Shanee Grant |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 7600 River Rd, North Bergen, 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 |
---|---|---|---|
1013479625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MA11517200 (New Jersey) | Primary |
Entity Name | Barron Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790736940 PECOS PAC ID: 8820083785 Enrollment ID: O20040419001416 |
Mailing Address | Practice Location Address |
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Olivia Shanee Grant, MD 7600 River Rd, North Bergen, NJ 07047-6217 Ph: (018) 254-5100 | Olivia Shanee Grant, MD 7600 River Rd, North Bergen, NJ 07047-6217 Ph: (201) 854-5100 |
Mr. Hee Chang Sung, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 201-854-5172 | |
Richard Bingham, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 River Road, North Bergen, NJ 07047 Phone: 201-854-5009 | |
Eden Hamayoun, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 201-710-2756 | |
Dr. Dominic Ruocco, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 856-616-8100 Fax: 856-616-1919 | |
Alex A Molina, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 River Road, North Bergen, NJ 07047 Phone: 201-854-5009 | |
Michelle Elena Blumberg Weiner, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 River Road, North Bergen, NJ 07047 Phone: 201-854-5009 Fax: 856-616-1919 |