Robert J Sidwa, DO | |
509 N Broad St, Woodbury, NJ 08096-1617 | |
(856) 853-2001 | |
Not Available |
Full Name | Robert J Sidwa |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 509 N Broad St, Woodbury, 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 |
---|---|---|---|
1093911893 | NPI | - | NPPES |
0135356 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MB08245200 (New Jersey) | Primary |
Entity Name | Emergency Care Services Of New Jersey Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992972830 PECOS PAC ID: 2567534100 Enrollment ID: O20080626000483 |
Mailing Address | Practice Location Address |
---|---|
Robert J Sidwa, DO 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300 | Robert J Sidwa, DO 509 N Broad St, Woodbury, NJ 08096-1617 Ph: (856) 853-2001 |
Dr. Laura Ruble, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S Evergreen Ave, Woodbury, NJ 08096 Phone: 865-560-8420 | |
Mark E. Nepp, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-216-7151 | |
Joseph Louis Granito, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 Mantua Pike, Woodbury, NJ 08096 Phone: 856-812-2220 Fax: 856-812-2221 | |
Thomas P. Love, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-853-2001 | |
James E. George, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-853-2001 | |
James M. Bonner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-853-2001 |