| 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 |