| Dr Bruce Tisch, MD | |
|
177 N Dean St, Suite 208, Englewood, NJ 07631-2533 | |
| (201) 569-0200 | |
| (201) 569-8287 |
| Full Name | Dr Bruce Tisch |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 177 N Dean St, 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 |
|---|---|---|---|
| 1932117629 | NPI | - | NPPES |
| 4719301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MA31321 (New Jersey) | Primary |
| Entity Name | Ob-gyn Associates Of Englewood,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700894417 PECOS PAC ID: 4688610736 Enrollment ID: O20050629000727 |
| Entity Name | Englewood Surgical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437282464 PECOS PAC ID: 6901960467 Enrollment ID: O20090127000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Tisch, MD 177 N Dean St, Suite 208, Englewood, NJ 07631-2533 Ph: (201) 569-0200 | Dr Bruce Tisch, MD 177 N Dean St, Suite 208, Englewood, NJ 07631-2533 Ph: (201) 569-0200 |
Hetal Gor, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 180 Grand Ave, Englewood, NJ 07631 Phone: 201-541-6868 Fax: 201-541-6869 | |
Dr. Nicholas Kotopoulos, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 40 Engle St, Englewood, NJ 07631 Phone: 201-568-0522 Fax: 201-567-5955 | |
Dr. Jennifer Eun Sun Cho, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 106 Grand Ave Ste 300, Englewood, NJ 07631 Phone: 201-608-0670 Fax: 201-781-7821 | |
Dr. Victor Borden, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 180 Grand Ave, Englewood, NJ 07631 Phone: 201-871-1766 Fax: 201-871-1391 | |
Karen Lynn Patrusky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 401 S Van Brunt St, Ste 405, Englewood, NJ 07631 Phone: 201-871-4346 Fax: 201-871-5953 | |
Keith Gresham, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 177 N Dean St, Suite 208, Englewood, NJ 07631 Phone: 201-569-0200 Fax: 201-569-8287 | |
Dr. Yitzhack Asulin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 106 Grand Ave, Suite 300, Englewood, NJ 07631 Phone: 917-543-5638 Fax: 201-308-5591 |