| Medical Diagnostic Associates, Pa | |
|
21 Commerce Dr Ste 200 Cranford NJ 07016-3519 | |
| (732) 382-0091 | |
| (732) 382-8570 |
| Full Name | Medical Diagnostic Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Commerce Dr Ste 200, Cranford, New Jersey |
| Authorized Official Name and Position | Amanda Rose Ritter (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7323820091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Diagnostic Associates, Pa 21 Commerce Dr Ste 200 Cranford NJ 07016-3519 Ph: (732) 382-0091 | Medical Diagnostic Associates, Pa 21 Commerce Dr Ste 200 Cranford NJ 07016-3519 Ph: (732) 382-0091 |
| NPI Number | 1487696886 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 1456347715 |
|---|---|
| Medicare Enrollment ID | O20040422000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487696886 | NPI | - | NPPES |
| Provider Name | Maria Alena B Kurtzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578526711 PECOS PAC ID: 6507857927 Enrollment ID: I20040524000158 |
| Provider Name | Elizabeth Bongo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386607521 PECOS PAC ID: 3779511985 Enrollment ID: I20050729000264 |
| Provider Name | Suketu Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124050570 PECOS PAC ID: 0648283671 Enrollment ID: I20060717000178 |
| Provider Name | Douglas P. Bennett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710903497 PECOS PAC ID: 0143325340 Enrollment ID: I20070417000481 |
| Provider Name | Ryan P Brown |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396966750 PECOS PAC ID: 0446351035 Enrollment ID: I20070726000508 |
| Provider Name | Burton Tucker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932191665 PECOS PAC ID: 1557357829 Enrollment ID: I20100223000111 |
| Provider Name | Carl S Goldstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861497315 PECOS PAC ID: 6800882184 Enrollment ID: I20100315000034 |
| Provider Name | Philip S. Klein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952393522 PECOS PAC ID: 4385630664 Enrollment ID: I20100318000327 |
| Provider Name | Zulekha Atif |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427437847 PECOS PAC ID: 0143641183 Enrollment ID: I20200601000059 |
| Provider Name | Dhwanil Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548647084 PECOS PAC ID: 9537495486 Enrollment ID: I20200602002008 |
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