| Dr Mary A Ravelo, MD | |
|
211 Pennington Ave, Passaic, NJ 07055-4617 | |
| (973) 470-3000 | |
| Not Available |
| Full Name | Dr Mary A Ravelo |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 211 Pennington Ave, Passaic, 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 |
|---|---|---|---|
| 1497809339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA068751 (New Jersey) | Primary |
| Entity Name | Barnabas Health Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary A Ravelo, MD 211 Pennington Ave, Passaic, NJ 07055-4617 Ph: () - | Dr Mary A Ravelo, MD 211 Pennington Ave, Passaic, NJ 07055-4617 Ph: (973) 470-3000 |
Dr. Pamela Yvette Williams, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 111 Lexington Ave, Passaic, NJ 07055 Phone: 973-471-8006 Fax: 973-471-1630 | |
Dr. Armando Medina Braganza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 530 Main Avenue, St Marys Hospital Seton Center, Passaic, NJ 07055 Phone: 973-470-3514 Fax: 973-470-3515 |