Sue A Mah, MD | |
1925 Pacific Ave, Atlantic City, NJ 08401-6713 | |
(609) 345-4000 | |
(609) 572-8523 |
Full Name | Sue A Mah |
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Gender | Female |
Speciality | Pediatrics |
Location | 1925 Pacific Ave, Atlantic 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 |
---|---|---|---|
1386652154 | NPI | - | NPPES |
0018104710004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD068616L (Pennsylvania) | Primary |
208000000X | Pediatrics | 25MA07097700 (New Jersey) | Secondary |
Entity Name | Children's Health Care Associates Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427152917 PECOS PAC ID: 1052219110 Enrollment ID: O20031229000053 |
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Mailing Address | Practice Location Address |
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Sue A Mah, MD 100 E Penn Sq, 9th Floor North Tower, Philadelphia, PA 19107-3323 Ph: (267) 425-9232 | Sue A Mah, MD 1925 Pacific Ave, Atlantic City, NJ 08401-6713 Ph: (609) 345-4000 |
Dr. Cheryl A Kuponiyi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-601-6366 | |
Alonso E. Concha Leon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Dr. Rolando Q. Mallari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Peggy A Solomon-bergen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-0000 Fax: 609-572-0039 | |
Dr. Edwin Lopez-bernard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-8686 Fax: 609-572-6033 |