| Charles J Dutkowsky, DO | |
|
106 Grand Avenue, North Jersey Orthopaedic Specialists, Englewood, NJ 07631 | |
| (201) 608-0100 | |
| (201) 608-0104 |
| Full Name | Charles J Dutkowsky |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 106 Grand Avenue, Englewood, 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 |
|---|---|---|---|
| 1477573798 | NPI | - | NPPES |
| 60018475 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 25MB04460200 (New Jersey) | Primary |
| Entity Name | Mam Orthopaedics, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215248299 PECOS PAC ID: 1254523863 Enrollment ID: O20101013001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Dutkowsky, DO 730 Palisade Ave, Teaneck, NJ 07666-3144 Ph: (201) 353-9000 | Charles J Dutkowsky, DO 106 Grand Avenue, North Jersey Orthopaedic Specialists, Englewood, NJ 07631 Ph: (201) 608-0100 |
Nathaniel Montag, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Grand Ave, Englewood, NJ 07631 Phone: 201-567-2277 | |
Victor John Bucalo, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 500 Grand Ave, First Floor, Englewood, NJ 07631 Phone: 201-567-2277 Fax: 201-567-2639 | |
Dr. Yining Zheng, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Grand Ave Ste 100, Englewood, NJ 07631 Phone: 201-567-2277 | |
Daniel J Herera, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 106 Grand Ave, Suite 220, Englewood, NJ 07631 Phone: 201-503-1900 Fax: 201-503-1901 | |
Rebecca C Brown, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Grand Ave, First Floor, Englewood, NJ 07631 Phone: 201-567-2277 Fax: 201-567-2639 | |
Elizabeth A Baker, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Grand Ave Ste 1, Englewood, NJ 07631 Phone: 201-567-2277 Fax: 201-567-7506 | |
Dr. Jason Jungsun Yoo, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 25 Rockwood Pl Ste 220, Englewood, NJ 07631 Phone: 201-408-5151 Fax: 201-408-5353 |