| Daniel Ghulammohd Contractor, MD | |
|
308 Willow Avenue, Hoboken, NJ 07030 | |
| (201) 418-1820 | |
| (201) 418-1822 |
| Full Name | Daniel Ghulammohd Contractor |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 308 Willow Avenue, Hoboken, 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 |
|---|---|---|---|
| 1669495768 | NPI | - | NPPES |
| 8311609 | Medicaid | NJ | |
| 01884275 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 1994021 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA07122200 (New Jersey) | Primary |
| Entity Name | Coney Island Medical Practice Plan, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ghulammohd Contractor, MD 1126 S 70th Street, Suite N500, Milwaukee, WI 53214 Ph: (414) 455-4780 | Daniel Ghulammohd Contractor, MD 308 Willow Avenue, Hoboken, NJ 07030 Ph: (201) 418-1820 |
Dr. Edgardo V. Reynoso, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Manuel Casuga Aragones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Feng Tao, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Seyed-ali Mousavi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Hussein Matari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 308 Willow Avenue, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Lawrence Gould, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Shashikant Gordhandas Chandarana, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Avenue, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 |