| Candace Michelle Ghaul, CRNA | |
|
556 Egg Harbor Rd Ste B, Sewell, NJ 08080-2326 | |
| (856) 256-7620 | |
| (215) 829-5567 |
| Full Name | Candace Michelle Ghaul |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 556 Egg Harbor Rd Ste B, Sewell, 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 |
|---|---|---|---|
| 1750570891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN348651L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00506400 (New Jersey) | Primary |
| Entity Name | Mid-atlantic Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366486508 PECOS PAC ID: 3779496047 Enrollment ID: O20031112000103 |
| Entity Name | Shrewsbury Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356691885 PECOS PAC ID: 4385899962 Enrollment ID: O20130305000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Michelle Ghaul, CRNA 104 Mansion Dr, Media, PA 19063-1020 Ph: (609) 238-1405 | Candace Michelle Ghaul, CRNA 556 Egg Harbor Rd Ste B, Sewell, NJ 08080-2326 Ph: (856) 256-7620 |
Ms. Valerie Vincek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 435 Hurffville - Cross Keys Rd, Kennedy Health System, Sewell, NJ 08080 Phone: 856-582-1419 | |
Dr. Rochelle Clark, DNP-A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 Hurffville Cross Keys Road, Sewell, NJ 08080 Phone: 856-582-2500 |