| Marietta Kintiroglou, MD | |
|
94 Old Short Hills Rd, Livingston, NJ 07039-5672 | |
| (973) 322-5763 | |
| Not Available |
| Full Name | Marietta Kintiroglou |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 94 Old Short Hills Rd, Livingston, 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 |
|---|---|---|---|
| 1598846263 | NPI | - | NPPES |
| 0716804 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | 25MA03558600 (New Jersey) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MA03558600 (New Jersey) | Primary |
| Entity Name | Livingston Pathology Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083781090 PECOS PAC ID: 3678678828 Enrollment ID: O20070417000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Kintiroglou, MD Po Box 66689, Falmouth, ME 04105-6689 Ph: (866) 689-8862 | Marietta Kintiroglou, MD 94 Old Short Hills Rd, Livingston, NJ 07039-5672 Ph: (973) 322-5763 |
Teresita C Redondo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5763 | |
Emelie H Ongcapin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5763 | |
Naver Sarkissian, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5760 | |
Dr. Ashhad Mahmood, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-8945 | |
Selwyn J Baptist, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5763 | |
Matthew J Tortora, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Road, Livingston, NJ 07039 Phone: 973-322-5763 | |
Dr. Andrew Myles Parrott, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 50 Rockledge Dr, Livingston, NJ 07039 Phone: 973-992-5645 Fax: 973-992-6607 |