| Dr Michael Gannon, MD | |
|
1973 Washington Valley Rd, Martinsville, NJ 08836-2053 | |
| (732) 560-9225 | |
| (732) 560-8095 |
| Full Name | Dr Michael Gannon |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1973 Washington Valley Rd, Martinsville, 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 |
|---|---|---|---|
| 1225441215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA09511000 (New Jersey) | Primary |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Gannon, MD Po Box 416457, Boston, MA 02241-2053 Ph: (844) 362-1735 | Dr Michael Gannon, MD 1973 Washington Valley Rd, Martinsville, NJ 08836-2053 Ph: (732) 560-9225 |
Renata Alma Wix-harris, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1924 Washington Valley Rd, Martinsville, NJ 08836 Phone: 732-356-1666 | |
Dr. Francesco Labbadia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1973 Washington Valley Rd, Martinsville, NJ 08836 Phone: 732-560-9225 Fax: 732-560-8095 | |
Daniela Accurso, M.D., MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1973 Washington Valley Rd, Martinsville, NJ 08836 Phone: 732-560-9225 Fax: 732-560-8095 | |
Dr. Kelly Ann Price, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1973 Washington Valley Rd, Martinsville, NJ 08836 Phone: 732-560-9225 Fax: 732-560-8095 |