| Dr Devra Gutfreund, MD | |
|
703 Main St, Paterson, NJ 07503-2621 | |
| (973) 754-4901 | |
| Not Available |
| Full Name | Dr Devra Gutfreund |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 703 Main St, Paterson, 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 |
|---|---|---|---|
| 1528298742 | NPI | - | NPPES |
| 03557935 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 60251657 (New York) | Secondary |
| 208000000X | Pediatrics | 25MA08875400 (New Jersey) | Primary |
| Entity Name | St. Joseph's Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568791192 PECOS PAC ID: 5092996181 Enrollment ID: O20110223000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Devra Gutfreund, MD 703 Main Street, Paterson, NJ 07503 Ph: () - | Dr Devra Gutfreund, MD 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-4901 |
Dr. Mario Charles Colletti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-972-4300 | |
Douaa Khalil, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 247-771-2714 | |
Eric S Lesser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567 | |
Cynthia Cookson, APN Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2522 | |
Linda C Skroce, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567 | |
Dr. Martha Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 127 Main St, Paterson, NJ 07505 Phone: 973-684-3130 | |
Dr. Rinet Philomena Fernandes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, St Josephs Healthcare Center, Paterson, NJ 07503 Phone: 973-754-2000 |