| Robert Russell Sudol, MD | |
| 
					408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706  | |
| (609) 652-6947 | |
| (609) 748-9075 | 
| Full Name | Robert Russell Sudol | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 408 E Jimmie Leeds Rd, Galloway, 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 | 
|---|---|---|---|
| 1154424182 | NPI | - | NPPES | 
| 1336309 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 48441 (New Jersey) | Primary | 
| Entity Name | New Jersey Medical And Health Associates,llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558673582 PECOS PAC ID: 9133300791 Enrollment ID: O20110302000334  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert Russell Sudol, MD 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 Ph: (609) 652-6956  | Robert Russell Sudol, MD 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 Ph: (609) 652-6947  | 
Dr. Viren Vankawala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 W Jimmie Leeds Rd, Galloway, NJ 08205 Phone: 609-573-5077  | |
Waqas Ullah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Chris Gaupp Dr, Galloway, NJ 08205 Phone: 609-404-9900 Fax: 609-404-3653  | |
Nancy C Higgins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 741 S 2nd Ave, Suite A, Galloway, NJ 08205 Phone: 609-748-7300 Fax: 609-748-7919  | |
Dr. Haitham R Dib, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Chris Gaupp Dr, Ste 204, Galloway, NJ 08205 Phone: 609-652-0100 Fax: 609-652-7616  | |
Dr. Tome Z Nascimento, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 318 Chris Gaupp Dr, Galloway, NJ 08205 Phone: 609-404-9900 Fax: 609-404-3653  | |
Nadia Sadik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 741 S 2nd Ave, Suite A, Galloway, NJ 08205 Phone: 609-748-7300 Fax: 609-748-7919  |