| Dr Lesly A D' Ambola, DO | |
|
42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | |
| (856) 566-6843 | |
| (856) 566-2775 |
| Full Name | Dr Lesly A D' Ambola |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 42 E Laurel Rd Ste 1800, Stratford, 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 |
|---|---|---|---|
| 1285653097 | NPI | - | NPPES |
| 1Q0140 | Other | NJ | MEDICARE PIN |
| 7718209 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB08472900 (New Jersey) | Primary |
| Entity Name | Rowansom New Jersey Institute For Successful Aging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881666105 PECOS PAC ID: 6709787914 Enrollment ID: O20040120000177 |
| 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 Lesly A D' Ambola, DO 5105 N Park Dr Apt 1005, Pennsauken, NJ 08109-4630 Ph: (856) 986-6042 | Dr Lesly A D' Ambola, DO 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 Ph: (856) 566-6843 |
Dr. Robert Gordon, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 42 E Laurel Rd, Suite 3100, Stratford, NJ 08084 Phone: 856-566-7070 Fax: 856-566-6952 | |
Ms. Margaret Flynn Heller, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 | |
Wunhuey Cheng, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 | |
Donald R Noll, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 | |
Zachary Manna, DO CANDIDATE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd, Stratford, NJ 08084 Phone: 732-618-1274 | |
Stephen Peter Lazar, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6842 Fax: 856-566-6419 | |
Dr. Adaora O Okoli-umeweni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 Phone: 856-566-6843 Fax: 856-566-6419 |