| Rita P Nunag, MD | |
| 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | |
| (610) 619-7410 | |
| (610) 490-0925 | 
| Full Name | Rita P Nunag | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 30 Medical Center Blvd, Upland, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760790380 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD055581L (Pennsylvania) | Primary | 
| Entity Name | Prospect Health Access Network Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rita P Nunag, MD 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Ph: (610) 619-7410 | Rita P Nunag, MD 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Ph: (610) 619-7410 | 
| Janisha Patel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
| Mr. Leamon L. Davenport, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
| Dr. Blaze Robert Gusic, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
| Erin E. Schnepp, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 |