| Dr Marianne T Centanni, MD | |
|
308 Willow Ave, Radiology Department, Hoboken, NJ 07030-3808 | |
| (201) 418-1820 | |
| (201) 418-1822 |
| Full Name | Dr Marianne T Centanni |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 308 Willow Ave, Hoboken, 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 |
|---|---|---|---|
| 1972549764 | NPI | - | NPPES |
| 1993305 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA02858900 (New Jersey) | Primary |
| Entity Name | Imaging Subspecialists Of North Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366428153 PECOS PAC ID: 3577558378 Enrollment ID: O20040420000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marianne T Centanni, MD 10335 N Port Washington Rd, Suite 250, Mequon, WI 53092-5763 Ph: (262) 240-9870 | Dr Marianne T Centanni, MD 308 Willow Ave, Radiology Department, Hoboken, NJ 07030-3808 Ph: (201) 418-1820 |
Dr. Edgardo V. Reynoso, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Manuel Casuga Aragones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Feng Tao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Seyed-ali Mousavi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Hussein Matari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 308 Willow Avenue, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Dr. Lawrence Gould, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Radiology Department, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 | |
Shashikant Gordhandas Chandarana, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Avenue, Hoboken, NJ 07030 Phone: 201-418-1820 Fax: 201-418-1822 |