| Louis Robert Gualtieri, DO | |
|
30 E Maryland Ave, Somers Point, NJ 08244-2451 | |
| (609) 677-9729 | |
| (609) 652-6270 |
| Full Name | Louis Robert Gualtieri |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 30 E Maryland Ave, Somers Point, 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 |
|---|---|---|---|
| 1265540397 | NPI | - | NPPES |
| P00758325 | Other | NJ | RAILROAD MEDICARE |
| 2065401 | Medicaid | NJ | |
| P00236403 | Other | NJ | RAILROAD MEDICARE |
| P00847782 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MB04673700 (New Jersey) | Primary |
| Entity Name | Atlantic Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
| Entity Name | Atlantic Radiologists Professional Association Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841438728 PECOS PAC ID: 3678621620 Enrollment ID: O20090430000174 |
| Entity Name | Ami Atlanticare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Robert Gualtieri, DO 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 Ph: (609) 677-9729 | Louis Robert Gualtieri, DO 30 E Maryland Ave, Somers Point, NJ 08244-2451 Ph: (609) 677-9729 |
Margaret C Avagliano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 E Maryland Ave, Somers Point, NJ 08244 Phone: 609-677-9729 Fax: 609-652-6270 | |
Ajay Viswambharan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 E Maryland Ave, Somers Point, NJ 08244 Phone: 609-677-9729 Fax: 609-652-6270 | |
James Ronald Mesham, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 E Maryland Ave, Somers Point, NJ 08244 Phone: 609-677-9729 Fax: 609-652-6270 | |
David Arnold Begleiter, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 E New York Ave, Somers Point, NJ 08244 Phone: 609-677-9729 Fax: 609-652-6270 | |
William James Gerhardt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 E New York Ave, Somers Point, NJ 08244 Phone: 609-677-9729 Fax: 609-652-6270 |