Dr Geoffrey Talis, MD | |
890 Mountain Ave, New Providence, NJ 07974-1218 | |
(908) 277-8900 | |
Not Available |
Full Name | Dr Geoffrey Talis |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 890 Mountain Ave, New Providence, 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 |
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1073019444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA11468200 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Dr Geoffrey Talis, MD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: () - | Dr Geoffrey Talis, MD 890 Mountain Ave, New Providence, NJ 07974-1218 Ph: (908) 277-8900 |
Dr. Andrea Jeanne Walter, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8900 Fax: 908-508-8919 | |
Paula Marie Pesci Rodriguez, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 139 South St, Suite 201, New Providence, NJ 07974 Phone: 973-615-9217 Fax: 973-292-3293 |