| Dr Theresa Maria Disandro, DO | |
|
217 White Horse Pike, Haddon Heights, NJ 08035-1703 | |
| (856) 547-1212 | |
| (856) 547-3722 |
| Full Name | Dr Theresa Maria Disandro |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 23 Years |
| Location | 217 White Horse Pike, Haddon Heights, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750544391 | NPI | - | NPPES |
| 102316770 | Medicaid | PA | |
| 0198561 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MB08554700 (New Jersey) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | OT010580 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virtua Our Lady Of Lourdes Hospital | Camden, NJ | Hospital |
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Virtua Memorial Hospital Of Burlington County | Mount holly, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
| Entity Name | Philadelphia Gastroenterology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826177 PECOS PAC ID: 3274430459 Enrollment ID: O20050211000215 |
| 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 Theresa Maria Disandro, DO 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Dr Theresa Maria Disandro, DO 217 White Horse Pike, Haddon Heights, NJ 08035-1703 Ph: (856) 547-1212 |
Dr. Harvey A Snyder, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 | |
Dr. Shveta V Gandhi, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 120 White Horse Pike Ste 103a, Haddon Heights, NJ 08035 Phone: 856-795-7505 Fax: 856-795-8010 | |
Mashiul Chowdhury, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 120 White Horse Pike Ste 103a, Haddon Heights, NJ 08035 Phone: 856-546-3904 Fax: 856-795-8010 | |
Dr. Steven D Datorre, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 | |
Dr. Kartik S Giri, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 | |
Dr. Steven E Silver, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 | |
Dr. Ronald A Cohen, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 210 W Atlantic Ave, Haddon Heights, NJ 08035 Phone: 856-547-0539 Fax: 856-547-3178 |