Dr Kamaldeep Grewal, MD | |
1925 Pacific Ave, Pediatrics-3rd Floor, Atlantic City, NJ 08401-6713 | |
(609) 572-8522 | |
Not Available |
Full Name | Dr Kamaldeep Grewal |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1925 Pacific Ave, Atlantic City, 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 |
---|---|---|---|
1306226931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA09743600 (New Jersey) | Primary |
Entity Name | Atlanticare Physician Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Practice Associates Medical Group |
---|---|
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 |
---|---|
Dr Kamaldeep Grewal, MD 1925 Pacific Ave, Pediatrics-3rd Floor, Atlantic City, NJ 08401-6713 Ph: (609) 572-8522 | Dr Kamaldeep Grewal, MD 1925 Pacific Ave, Pediatrics-3rd Floor, Atlantic City, NJ 08401-6713 Ph: (609) 572-8522 |
Dr. Cheryl A Kuponiyi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-601-6366 | |
Sue A. Mah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Alonso E. Concha Leon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Dr. Rolando Q. Mallari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Peggy A Solomon-bergen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-0000 Fax: 609-572-0039 | |
Dr. Edwin Lopez-bernard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-8686 Fax: 609-572-6033 |