Vasthi C Wilson, MD | |
1515 Broad St Ste B120, Bloomfield, NJ 07003-3059 | |
(973) 873-7000 | |
(973) 743-8943 |
Full Name | Vasthi C Wilson |
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Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 1515 Broad St Ste B120, Bloomfield, 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 |
---|---|---|---|
1760548556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 25MA08489700 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Entity Name | New Jersey Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740624246 PECOS PAC ID: 9335381458 Enrollment ID: O20130820000086 |
Mailing Address | Practice Location Address |
---|---|
Vasthi C Wilson, MD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Vasthi C Wilson, MD 1515 Broad St Ste B120, Bloomfield, NJ 07003-3059 Ph: (973) 873-7000 |
Dr. Anthony C Ingenito, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Broad St Ste B120, Bloomfield, NJ 07003 Phone: 973-873-7000 Fax: 973-743-8943 | |
Dr. William Ding, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Broad St, Bloomfield, NJ 07003 Phone: 973-873-7000 Fax: 973-743-8943 |