| Dr Essam El-harazy, MD | |
|
Nldc Route 72, New Lisbon, NJ 08064 | |
| (609) 726-1000 | |
| (609) 726-1387 |
| Full Name | Dr Essam El-harazy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | Nldc Route 72, New Lisbon, 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 |
|---|---|---|---|
| 1801977533 | NPI | - | NPPES |
| 0220248 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07260900 (New Jersey) | Primary |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588607725 PECOS PAC ID: 6406742592 Enrollment ID: O20040419001441 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Essam El-harazy, MD 116 Everturn Ln, Levittown, PA 19054-2726 Ph: (609) 203-2465 | Dr Essam El-harazy, MD Nldc Route 72, New Lisbon, NJ 08064 Ph: (609) 726-1000 |
Dr. Sangeeta Buddala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Rt. 72 East, New Lisbon Developmental Center, New Lisbon, NJ 08064 Phone: 609-726-1000 | |
Dr. Prince G Kottiath, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Route 72, New Lisbon Developmental Center, Health Services, New Lisbon, NJ 08064 Phone: 609-726-1000 |