| Gregory Mukalian, DO | |
|
1113 Hospital Dr Ste 100a, Willingboro, NJ 08046-1128 | |
| (609) 835-5821 | |
| (609) 835-5827 |
| Full Name | Gregory Mukalian |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 1113 Hospital Dr Ste 100a, Willingboro, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659372910 | NPI | - | NPPES |
| 7031904 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MB06369000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virtua Willingboro Hospital | Willingboro, 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 | 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 |
|---|---|
| Gregory Mukalian, DO 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Gregory Mukalian, DO 1113 Hospital Dr Ste 100a, Willingboro, NJ 08046-1128 Ph: (609) 835-5821 |
Neerja Dube Ii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Sunset Rd, Willingboro, NJ 08046 Phone: 856-824-3000 | |
Arnold Baskies, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1000 Salem Rd, Suite A, Willingboro, NJ 08046 Phone: 609-877-1737 Fax: 609-877-1589 | |
Pravinkumar K Mashru Ii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Sunset Rd, Willingboro, NJ 08046 Phone: 856-824-3000 |