| Carla Pelullo, | |
|
200 Trenton Rd, Browns Mills, NJ 08015-1705 | |
| (609) 893-1200 | |
| Not Available |
| Full Name | Carla Pelullo |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Trenton Rd, Browns Mills, 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 |
|---|---|---|---|
| 1538918883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ15104400 (New Jersey) | Primary |
| Entity Name | Professional Service Fund Of Deborah- Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902852015 PECOS PAC ID: 9133163504 Enrollment ID: O20050616000283 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Pelullo, 14 Laurie Dr, Voorhees, NJ 08043-9594 Ph: () - | Carla Pelullo, 200 Trenton Rd, Browns Mills, NJ 08015-1705 Ph: (609) 893-1200 |
Karen Diane Meisberger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Trenton Rd, Browns Mills, NJ 08015 Phone: 609-893-1200 | |
Helen Hogg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Trenton Rd, Browns Mills, NJ 08015 Phone: 609-893-6611 | |
Mr. Nicholas Anthony Blanck, MSN, APN-ANESTHESIA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Trenton Rd, Browns Mills, NJ 08015 Phone: 609-893-6111 | |
Dorian J Youngblood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Trenton Road, Deborah Heart And Lung Center, Browns Mills, NJ 08048 Phone: 609-893-6611 Fax: 609-735-0415 |