Paul T Dierlam, MD | |
651 Willow Grove St, Hackettstown, NJ 07840-1799 | |
(908) 852-5100 | |
Not Available |
Full Name | Paul T Dierlam |
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Gender | Male |
Speciality | Anesthesiology |
Location | 651 Willow Grove St, Hackettstown, 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 |
---|---|---|---|
1487679551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA05562800 (New Jersey) | Primary |
Entity Name | Metropolitan Pain Consultants, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639355621 PECOS PAC ID: 6204906985 Enrollment ID: O20080606000532 |
Entity Name | Aztec Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598392003 PECOS PAC ID: 2961820527 Enrollment ID: O20200914001418 |
Entity Name | Centurion Anesthesia Surgical Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326707100 PECOS PAC ID: 9537551254 Enrollment ID: O20220110000263 |
Entity Name | Canj Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881353662 PECOS PAC ID: 6709278740 Enrollment ID: O20220124002960 |
Mailing Address | Practice Location Address |
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Paul T Dierlam, MD Po Box 13497, Newark, NJ 07188-0001 Ph: (201) 804-2800 | Paul T Dierlam, MD 651 Willow Grove St, Hackettstown, NJ 07840-1799 Ph: (908) 852-5100 |
Robert Forrest, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Daniel C Wu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Dragomir Milan Vujic, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Valsala Narayanan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Rosanne France Giannuzzi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 |