Timothy O'sullivan, | |
330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 | |
(973) 317-0155 | |
Not Available |
Full Name | Timothy O'sullivan |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 330 Ratzer Rd Ste B7, Wayne, 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 |
---|---|---|---|
1912430687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 25MA11147600 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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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 |
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Timothy O'sullivan, Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Timothy O'sullivan, 330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 Ph: (973) 317-0155 |
Dr. Robert David Kramberg, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1350 Rte 23 North, Wayne, NJ 07470 Phone: 973-709-9200 Fax: 973-709-9207 | |
Cyrus Vosough, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 504 Hamburg Tpke Ste B105, Wayne, NJ 07470 Phone: 973-595-0063 Fax: 973-240-8990 | |
Dr. Margaret Karcnik, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 510 Hamburg Tpke, Ste 101, Wayne, NJ 07470 Phone: 973-942-6005 Fax: 973-942-6009 | |
Rajendra V Ram, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 33 Riverviewview Drive, Wayne, NJ 07470 Phone: 973-839-1003 Fax: 973-839-3653 | |
Dr. Philippe Chemaly, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 401 Hamburg Tpke, Suite 105, Wayne, NJ 07470 Phone: 973-595-6066 Fax: 973-595-1127 | |
Veronica Chehata, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 234 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-389-5146 | |
Dr. Wen - Ling Lee Fan, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 305 Oldham Rd, Wayne, NJ 07470 Phone: 973-904-6126 |