Paul Fontanazza, MD | |
450 Bergen St, Harrison, NJ 07029 | |
(973) 484-6900 | |
(973) 484-0029 |
Full Name | Paul Fontanazza |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 450 Bergen St, Harrison, 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 |
---|---|---|---|
1225041965 | NPI | - | NPPES |
D02037000 | Other | NJ | CDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 32061 (New Jersey) | Primary |
Entity Name | Primary Care Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134386410 PECOS PAC ID: 6305850249 Enrollment ID: O20060131000554 |
Mailing Address | Practice Location Address |
---|---|
Paul Fontanazza, MD 450 Bergen St, Harrison, NJ 07029 Ph: (973) 484-6900 | Paul Fontanazza, MD 450 Bergen St, Harrison, NJ 07029 Ph: (973) 484-6900 |
Dr. Henry James Ryngel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Harrison Ave, Harrison, NJ 07029 Phone: 973-484-2929 Fax: 973-484-4280 | |
Ralph Samuel Dagostino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Bergen St, Harrison, NJ 07029 Phone: 973-484-6900 Fax: 973-484-0029 | |
Mr. Artur M Carvalho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Essex Street - 3rd Floor, Harrison, NJ 07029 Phone: 973-274-9880 Fax: 973-274-1959 |