| Dr Edna Retiracion Lopez-maslak, MD | |
|
206 Belleville Ave Ste 202, Bloomfield, NJ 07003-3589 | |
| (973) 743-0202 | |
| (973) 743-0777 |
| Full Name | Dr Edna Retiracion Lopez-maslak |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 206 Belleville Ave Ste 202, Bloomfield, 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 |
|---|---|---|---|
| 1396716767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MA0653880 (New Jersey) | Primary |
| Entity Name | Sanitas Medical Center Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740792779 PECOS PAC ID: 6608137252 Enrollment ID: O20180223000217 |
| Entity Name | Rwjbh Primary Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265037501 PECOS PAC ID: 0749699346 Enrollment ID: O20210512000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edna Retiracion Lopez-maslak, MD Lb# 7550 Po Box 95000, Philadelphia, PA 19195-7550 Ph: (844) 362-1735 | Dr Edna Retiracion Lopez-maslak, MD 206 Belleville Ave Ste 202, Bloomfield, NJ 07003-3589 Ph: (973) 743-0202 |
Maria Turizo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1255 Broad St, Suite 105, Bloomfield, NJ 07003 Phone: 973-233-5494 Fax: 973-233-5492 | |
Dr. Ruchi Mehta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 106 Broad Street, Bloomfield, NJ 07003 Phone: 973-743-1392 Fax: 973-743-3707 | |
Dr. Sean A Flynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Glenwood Ave, 2nd Floor, Suite 6, Bloomfield, NJ 07003 Phone: 973-743-5639 Fax: 973-743-5840 | |
Dr. Madhavi Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 199 Broad Street, Suite 1b, Bloomfield, NJ 07003 Phone: 973-743-1392 Fax: 973-743-3707 | |
Maria M Yerovi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 399 Hoover Ave, Suite 4, Bloomfield, NJ 07003 Phone: 973-429-2120 Fax: 973-429-2181 | |
Lori Ann Colyer-aversa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003 Phone: 973-748-9500 Fax: 973-748-9492 |