| Colleen Khatiwala, MD | |
|
3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 | |
| (609) 407-1113 | |
| Not Available |
| Full Name | Colleen Khatiwala |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 3205 Fire Rd, Egg Harbor Township, 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 |
|---|---|---|---|
| 1679724553 | NPI | - | NPPES |
| 25MA08406300 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA08406300 (New Jersey) | Primary |
| Entity Name | Atlanticare Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710930102 PECOS PAC ID: 0648181578 Enrollment ID: O20040212000251 |
| Entity Name | Advanced Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063415990 PECOS PAC ID: 9335134170 Enrollment ID: O20040420000134 |
| Entity Name | Shrewsbury Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356691885 PECOS PAC ID: 4385899962 Enrollment ID: O20130305000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Khatiwala, MD Po Box 48076, Newark, NJ 07101-4876 Ph: (201) 804-2800 | Colleen Khatiwala, MD 3205 Fire Rd, Egg Harbor Township, NJ 08234-5884 Ph: (609) 407-1113 |
Charles Scott Salkeld, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3205 Fire Rd Ste 3, Egg Harbor Township, NJ 08234 Phone: 609-407-1113 | |
Dr. Baltazar D Rodricks, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6314 Black Horse Pike, Egg Harbor Township, NJ 08234 Phone: 609-813-2190 | |
Raef A Elgawli, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6314 Black Horse Pike, Egg Harbor Township, NJ 08234 Phone: 609-813-2190 | |
Dr. Andrew Wong, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 English Creek Ave, Bldg 1200, 2nd Fl, Egg Harbor Township, NJ 08234 Phone: 609-833-9833 |