| Dr Ebere N Ezeanya, MD | |
|
445 Marshall St, Phillipsburg, NJ 08865-2695 | |
| (609) 582-0899 | |
| Not Available |
| Full Name | Dr Ebere N Ezeanya |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 445 Marshall St, Phillipsburg, 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 |
|---|---|---|---|
| 1053547919 | NPI | - | NPPES |
| 0357367 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD469728 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 25MA09219400 (New Jersey) | Primary |
| Entity Name | Nj South Coast Medical Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952739690 PECOS PAC ID: 2567690761 Enrollment ID: O20140115001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ebere N Ezeanya, MD 532 City View Dr, Nazareth, PA 18064-1244 Ph: (973) 704-5644 | Dr Ebere N Ezeanya, MD 445 Marshall St, Phillipsburg, NJ 08865-2695 Ph: (609) 582-0899 |
Dr. Alan Remde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 866-281-6023 | |
Shilpa Reddy, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Strykers Rd Ste 1, Phillipsburg, NJ 08865 Phone: 908-847-6568 Fax: 866-278-3009 | |
Dr. Raymond S Buch, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 908-454-2289 | |
Alexis Laguna, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-847-3334 | |
Ileana Ortiz-evans, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Us Route 22, Phillipsburg, NJ 08865 Phone: 908-213-2211 Fax: 908-213-9913 | |
Angela Therese Lantin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 Phone: 908-454-6303 Fax: 908-454-2289 |