| Dmitriy Podlog, | |
|
750 Brunswick Ave, Trenton, NJ 08638-4143 | |
| (609) 394-6031 | |
| Not Available |
| Full Name | Dmitriy Podlog |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 750 Brunswick Ave, Trenton, 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 |
|---|---|---|---|
| 1023692704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB12408400 (New Jersey) | Primary |
| Entity Name | Emergency Physician Associates Of North Jersey P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497783419 PECOS PAC ID: 7911992326 Enrollment ID: O20040825001558 |
| Mailing Address | Practice Location Address |
|---|---|
| Dmitriy Podlog, 750 Brunswick Ave, Trenton, NJ 08638-4143 Ph: (609) 394-6031 | Dmitriy Podlog, 750 Brunswick Ave, Trenton, NJ 08638-4143 Ph: (609) 394-6031 |
Dr. Travis John Maiers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Brunswick Ave, Trenton, NJ 08638 Phone: 609-394-6000 | |
Daine Dickerman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Brunswick Ave, Helene Fuld Medical Center, Trenton, NJ 08638 Phone: 609-394-4000 | |
Anna Milman, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Hamilton Ave, Trenton, NJ 08629 Phone: 609-599-5210 | |
Meghan E. Womack, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Brunswick Ave, Helene Fuld Medical Center, Trenton, NJ 08638 Phone: 609-394-6000 Fax: 973-740-1350 | |
Mrs. Jaspreet Kaur, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Brunswick Ave, Trenton, NJ 08638 Phone: 609-815-7091 Fax: 609-815-7886 | |
Dr. Ralynne Elizabeth Maitland, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Brunswick Ave, Department Of Emergency Medicine, Trenton, NJ 08638 Phone: 609-815-7091 Fax: 609-815-7886 |