Alexander Matthew Pugliese, CRNA | |
2010 W Chester Pike, Suite 330, Havertown, PA 19083-2700 | |
(610) 789-8070 | |
(610) 789-9937 |
Full Name | Alexander Matthew Pugliese |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2010 W Chester Pike, Havertown, Pennsylvania |
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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1124001847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN547143 (Pennsylvania) | Primary |
Entity Name | Delaware Center For Digestive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558722561 PECOS PAC ID: 5890089353 Enrollment ID: O20160805000253 |
Entity Name | Northstar Anesthesia Of Delaware Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316544976 PECOS PAC ID: 8022428416 Enrollment ID: O20201116000036 |
Mailing Address | Practice Location Address |
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Alexander Matthew Pugliese, CRNA Po Box 1250, Havertown, PA 19083-5850 Ph: (610) 789-8070 | Alexander Matthew Pugliese, CRNA 2010 W Chester Pike, Suite 330, Havertown, PA 19083-2700 Ph: (610) 789-8070 |
Marylouise Caneda, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Jessica L Collins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Elizabeth J Shelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 337, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Russell Zehnacker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Kimberly Medwid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old West Chester Pike, Havertown, PA 19083 Phone: 610-789-8070 | |
Lisa Ann Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old W Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 |