| Paul T Dierlam, MD | |
|
651 Willow Grove St, Hackettstown, NJ 07840-1799 | |
| (908) 852-5100 | |
| Not Available |
| Full Name | Paul T Dierlam |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 651 Willow Grove St, Hackettstown, 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 |
|---|---|---|---|
| 1487679551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA05562800 (New Jersey) | Primary |
| Entity Name | Metropolitan Pain Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639355621 PECOS PAC ID: 6204906985 Enrollment ID: O20080606000532 |
| Entity Name | Centurion Anesthesia Surgical Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326707100 PECOS PAC ID: 9537551254 Enrollment ID: O20220110000263 |
| Entity Name | Canj Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881353662 PECOS PAC ID: 6709278740 Enrollment ID: O20220124002960 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul T Dierlam, MD Po Box 13497, Newark, NJ 07188-0001 Ph: (201) 804-2800 | Paul T Dierlam, MD 651 Willow Grove St, Hackettstown, NJ 07840-1799 Ph: (908) 852-5100 |
Robert Forrest, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Daniel C Wu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Dragomir Milan Vujic, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Valsala Narayanan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 | |
Rosanne France Giannuzzi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 |