| Ralph N Daggan Iii, CRNA | |
|
1 Cooper Plz, Dept Of Anestheisa, Camden, NJ 08103-1461 | |
| (856) 342-2425 | |
| (856) 968-8239 |
| Full Name | Ralph N Daggan Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Cooper Plz, Camden, 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 |
|---|---|---|---|
| 1477641405 | NPI | - | NPPES |
| 010007379 | Other | NJ | AMERICHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NO07823500 (New Jersey) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN272385L (Pennsylvania) | Secondary |
| Entity Name | Cooper Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207147 PECOS PAC ID: 1254236672 Enrollment ID: O20031126000651 |
| Entity Name | Rancocas Anesthesiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427076553 PECOS PAC ID: 2769380237 Enrollment ID: O20031222000327 |
| Entity Name | Chc Pain Management Center, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109913 PECOS PAC ID: 0648265777 Enrollment ID: O20040419000397 |
| 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 |
|---|---|
| Ralph N Daggan Iii, CRNA 1 Federal St, Ste Sw200, Camden, NJ 08103-1155 Ph: (856) 382-6530 | Ralph N Daggan Iii, CRNA 1 Cooper Plz, Dept Of Anestheisa, Camden, NJ 08103-1461 Ph: (856) 342-2425 |
Winter E. Skelly, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 | |
Balaishe Boakai Ballo, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Haddon Ave Fl 3, Camden, NJ 08103 Phone: 856-988-6260 Fax: 856-988-6270 | |
Michael Phillip Hoess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2425 | |
Amy Tsao, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-382-6500 | |
Maria Dinnah Eclavia-dy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103 Phone: 856-342-2425 | |
Laura Faust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 | |
Amy O'donnell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 |