| Dr Mariam Beshara, DMD | |
|
222 Haledon Ave, Prospect Park, NJ 07508-2024 | |
| (973) 652-3093 | |
| Not Available |
| Full Name | Dr Mariam Beshara |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 222 Haledon Ave, Prospect Park, 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 |
|---|---|---|---|
| 1588194914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02687600 (New Jersey) | Secondary |
| 122300000X | Dentist | PENDING (New Jersey) | Primary |
| Entity Name | Newark Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mariam Beshara, DMD 126 Hopper Avenue, Nutley, NJ 07110 Ph: (973) 652-3093 | Dr Mariam Beshara, DMD 222 Haledon Ave, Prospect Park, NJ 07508-2024 Ph: (973) 652-3093 |
Dr. Daniel Adam Alwan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-904-9611 | |
Jawdat Varoqua, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-790-3500 | |
Dr. Wassim Alwan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-904-9611 Fax: 973-904-0857 | |
Dr. Khaled Y Alwan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 Haledon Ave, Prospect Park, NJ 07508 Phone: 973-904-9611 Fax: 973-904-0857 |