| Kelly Ann Difabio, DO | |
|
1825 Rte 35, Wall Township, NJ 07719-3541 | |
| (732) 280-2600 | |
| Not Available |
| Full Name | Kelly Ann Difabio |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1825 Rte 35, Wall Township, 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 |
|---|---|---|---|
| 1265870091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB10085300 (New Jersey) | Primary |
| Entity Name | Barron Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790736940 PECOS PAC ID: 8820083785 Enrollment ID: O20040419001416 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Difabio, DO 83 Vanard Dr, Brick, NJ 08723-7441 Ph: (610) 203-5910 | Kelly Ann Difabio, DO 1825 Rte 35, Wall Township, NJ 07719-3541 Ph: (732) 280-2600 |
Victoria Rose Albani, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 18th Ave, Wall Township, NJ 07719 Phone: 908-255-9824 | |
Salvatore Pepe Iv, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Route 35, Wall Township, NJ 07719 Phone: 732-280-2600 | |
Howard Rubinstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Rte 35, Wall Township, NJ 07719 Phone: 732-280-2600 Fax: 848-469-8933 |