Fady Ghattas, MD | |
185 Roseberry St, Phillipsburg, NJ 08865-1690 | |
(484) 526-4000 | |
Not Available |
Full Name | Fady Ghattas |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 185 Roseberry St, Phillipsburg, 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 |
---|---|---|---|
1588285456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MA11790800 (New Jersey) | Secondary |
207P00000X | Emergency Medicine | MD479240 (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Gslpg, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
Mailing Address | Practice Location Address |
---|---|
Fady Ghattas, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: () - | Fady Ghattas, MD 185 Roseberry St, Phillipsburg, NJ 08865-1690 Ph: (484) 526-4000 |
Dr. Daria M. Starosta, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
Dr. Atilio R Roscher, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
Kelly Allen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 866-785-8537 | |
Dr. Susan Tallick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
Dr. Kenneth Wloczewski, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
Dr. Kim Donaldson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 | |
Dr. Joseph Parada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6700 Fax: 908-859-6812 |