Stefan Adrian Gillen, DO | |
242 W Parkway, Pompton Plains, NJ 07444-1029 | |
(862) 248-8100 | |
(862) 248-8166 |
Full Name | Stefan Adrian Gillen |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Epilepsy |
Location | 242 W Parkway, Pompton Plains, 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 |
---|---|---|---|
1003302670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 25MB11831000 (New Jersey) | Secondary |
2084E0001X | Psychiatry & Neurology - Epilepsy | 25MB11831000 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
---|---|
Stefan Adrian Gillen, DO Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Stefan Adrian Gillen, DO 242 W Parkway, Pompton Plains, NJ 07444-1029 Ph: (862) 248-8100 |
Norman H Ladov, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 933 Route 23 S, Suite 410, Pompton Plains, NJ 07444 Phone: 973-839-0200 Fax: 973-839-4749 | |
Gautami Kondamodi Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 242 W Parkway, Pompton Plains, NJ 07444 Phone: 908-522-2829 Fax: 908-522-6147 | |
Chitharanjan V Rao, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 242 W Parkway, Pompton Plains, NJ 07444 Phone: 862-248-8165 |