Richard D Fox, MD | |
3202 Kennedy Blvd, Jersey City, NJ 07306 | |
(201) 332-4500 | |
(201) 792-5983 |
Full Name | Richard D Fox |
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Gender | Male |
Speciality | Dermatology |
Location | 3202 Kennedy Blvd, Jersey City, 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 |
---|---|---|---|
1578531133 | NPI | - | NPPES |
2178109 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 25MA02445800 (New Jersey) | Primary |
Entity Name | Clark Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851562425 PECOS PAC ID: 5395703573 Enrollment ID: O20080920000007 |
Mailing Address | Practice Location Address |
---|---|
Richard D Fox, MD 3202 Kennedy Blvd, Jersey City, NJ 07306 Ph: (201) 332-4500 | Richard D Fox, MD 3202 Kennedy Blvd, Jersey City, NJ 07306 Ph: (201) 332-4500 |
Jeffrey Tuazon, NP Dermatology Medicare: Medicare Enrolled Practice Location: 100 Town Square Pl Ste 409, Jersey City, NJ 07310 Phone: 201-626-4040 Fax: 201-626-4041 | |
Dr. John Andrew Erianne, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3285 John F Kennedy Blvd, 2nd Floor, Jersey City, NJ 07307 Phone: 201-656-5263 Fax: 201-656-3931 | |
Arthur M Katz, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2954 Kennedy Blvd, 2nd Fl, Jersey City, NJ 07306 Phone: 201-653-5555 Fax: 201-963-9202 | |
Gloria Lin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3202 Jfk Blvd, Jersey City, NJ 07306 Phone: 201-792-4500 |