Thalia Vasiliades, DO | |
484 Lafayette Ave, Hawthorne, NJ 07506-2522 | |
(973) 423-4770 | |
(973) 423-4816 |
Full Name | Thalia Vasiliades |
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Gender | Female |
Speciality | Family Medicine |
Location | 484 Lafayette Ave, Hawthorne, 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 |
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1912075185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MB074762 (New Jersey) | Primary |
Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
Mailing Address | Practice Location Address |
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Thalia Vasiliades, DO 3 Chester Pl, Englewood, NJ 07631-3613 Ph: (201) 568-6205 | Thalia Vasiliades, DO 484 Lafayette Ave, Hawthorne, NJ 07506-2522 Ph: (973) 423-4770 |
Lisa Draucikas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1114 Goffle Rd, Suite 103, Hawthorne, NJ 07506 Phone: 973-423-1364 | |
Ms. Alyssa C Townsend, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1114 Goffle Rd Ste 104, Hawthorne, NJ 07506 Phone: 973-636-9000 | |
Dr. Avril D Anthony-wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1114 Goffle Rd, Hawthorne, NJ 07506 Phone: 973-423-1364 Fax: 973-423-0980 | |
Dr. Adrienne Lynn Salerno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1114 Goffle Rd Ste 104, Hawthorne, NJ 07506 Phone: 973-636-9000 Fax: 833-493-1245 | |
Joseph Lozito Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 484 Lafayette Ave, Hawthorne, NJ 07506 Phone: 973-423-4770 | |
Dr. Douglas Bienstock, D. O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 245 Diamond Bridge Ave, Hawthorne, NJ 07506 Phone: 973-427-0600 Fax: 973-427-0604 |