| Mrs Gwen Dodd Lee, APN-C | |
|
613 Park Ave, East Orange, NJ 07017-1905 | |
| (973) 672-8573 | |
| Not Available |
| Full Name | Mrs Gwen Dodd Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 613 Park Ave, East Orange, 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 |
|---|---|---|---|
| 1427343482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00330800 (New Jersey) | Primary |
| Entity Name | Medical Service Professionals Of Nj Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972044923 PECOS PAC ID: 9931473139 Enrollment ID: O20170927002286 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gwen Dodd Lee, APN-C 613 Park Ave, East Orange, NJ 07017-1905 Ph: (973) 672-8573 | Mrs Gwen Dodd Lee, APN-C 613 Park Ave, East Orange, NJ 07017-1905 Ph: (973) 672-8573 |
Miss Hana Michele Baron, NP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Mrs. Carla Francis, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Miss Adaugo Oriji, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Halsted St, East Orange, NJ 07018 Phone: 973-674-0036 | |
Devang Patel, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Evergreen Pl, East Orange, NJ 07018 Phone: 973-395-1550 | |
Sanjaykumar Shah, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Central Avenue, Suite 102, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Theresa Reed, DNP, APN, ENP,FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7135 | |
Ms. Janet Ellen Coley-lima, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Avenue, Hbpc, Mail Code 11e-3, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7042 |