Primary Care Physicians - AmeriChoice

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Section 1 – Introduction This directory provides a list of AmeriChoice Personal Care Plus plan providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our plan providers that are listed in this directory to be your Primary Care {Physician/Provider} (PCP). The term “PCP” will be used throughout this directory. Generally, you must get your health care coverage from your PCP, a licensed medical doctor (MD) or doctor of osteopathy (DO) or certain other licensed medical practitioner who, within the scope of practice and in accordance with State certification/licensure requirements, standards, and practices, is responsible for providing all required primary care services to enrollees, including periodic examinations, preventive health care and counseling, immunizations, diagnosis and treatment of illness or injury, coordination of overall medical care, record maintenance, and initiation of referrals to specialty providers described in this contract and the Benefits Package, and for maintaining continuity of patient care. A PCP shall include general/family practitioners, pediatricians, internists, and may include specialist physicians, physician assistants, Certified Nurse Midwives (CNMs) or Certified Nurse Practitioners/Clinical Nurse Specialists (CNPs/CNSs), provided that the practitioner is able and willing to carry out all PCP responsibilities in accordance with these contract provisions and licensure requirements. The “plan providers” listed in this directory have agreed to provide you with your health care coverage. You may go to any of our plan providers listed in this directory; referrals are not required. If you have been going to one plan provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-plan providers. Non par providers must obtain prior authorization. In limited cases, such as emergency care, urgently needed care when our network is not available, or out of service area dialysis, you may get covered services from non-plan (out-of-network) providers without obtaining prior authorization. If an out-of-network provider sends you a bill that you think we should pay for, do not pay the bill. Please contact Member Services or send the bill to us for payment. What is the service area for AmeriChoice Personal Care Plus? The counties in our service area are listed below. Atlantic, Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Ocean, Passaic and Union How do you find AmeriChoice Personal Care Plus providers in your area? For an up-to-date Provider Directory, you can visit www.AmeriCchoice.com or call our Customer Service Department at 1-800-514-4911, 24 hours a day, 7 days a week. TTY/TDD should call 711. If you have questions about AmeriChoice Personal Care Plus, please call our Customer Service Department at (800) 514-4911, 24 hours a day, 7 days a week. TTY users should call 711. Or, visit www.AmeriChioce.com. iv
Primary Care Physicians Family Practice Atlantic County ATLANTIC CITY Corrales, Michelle D, MD� 1325 Baltic Ave Atlantic City, NJ 08401 (609) 441-0723 Provider ID#: 01004604900 3207 Atlantic Ave Atlantic City, NJ 08401 (609) 441-0723 Provider ID#: 01004604901 4401 Ventnor Ave 2nd Fl Atlantic City, NJ 08401 (609) 345-2050 Provider ID#: 01004604902 Loughlin-Pherribo, Donna, DO� 1401 Atlantic Ave Ste 2600 Atlantic City, NJ 08401 (609) 572-6055 Provider ID#: 91002630201 2009 Bacharach Blvd Atlantic City, NJ 08401 (609) 344-5714 Provider ID#: 91002630200 Lunt , David M, MD 3207 Atlantic Ave Atlantic City, NJ 08401 (609) 345-4500 Provider ID#: 01004642600 Lunt, David M, MD 1325 Baltic Ave Atlantic City, NJ 08401 (609) 441-0723 Provider ID#: 01004642601 4401 Ventor Ave Fl 2nd Atlantic City, NJ 08401 (609) 345-2050 Provider ID#: 01004642602 � Physician is not accepting new patients � Handicap Access Manlandro, James J, DO� 1401 Atlantic Ave Ste 2600 Atlantic City, NJ 08401 (609) 572-6055 Provider ID#: 90000592609 2009 Bacharach Blvd Atlantic City, NJ 08401 (609) 344-5714 Provider ID#: 90000592604 Mitchell, Rajan, DO� 1301 Atlantic Ave Atlantic City, NJ 08401 (609) 572-0000 Provider ID#: 91001834402 Patel, Neil N, MD� 1401 Atlantic Ave Ste 1100 Atlantic City, NJ 08401 (609) 441-7099 Provider ID#: 01004676200 Rodriguez, Marlene, MD 1301 Atlantic Ave Atlantic City, NJ 08401 (609) 572-0000 Provider ID#: 01000457901 GALLOWAY Corrales, Michelle D, MD� 331 E Jimmie Leeds Rd Galloway, NJ 08205 (609) 652-2404 Provider ID#: 01004604904 Lunt, David M, MD 331 E Jimmie Leeds Rd Galloway, NJ 08205 (609) 652-2404 Provider ID#: 01004642603 HAMMONTON Bertagnolli, John, DO 373 White Horse Pike Hammonton, NJ 08037 (609) 704-0185 Provider ID#: 01000272400 PLEASANTVILLE Corrales, Michelle D, MD� 22 N Franklin Blvd Pleasantville, NJ 08232 (609) 272-9040 Provider ID#: 01004604903 Gerber, Austin J, DO� 850 N Main St Pleasantville, NJ 08232 (609) 641-1118 Provider ID#: 01004588401 Lunt, David M, MD� 22 N Franklin Blvd Pleasantville, NJ 08232 (609) 272-9040 Provider ID#: 01004642604 Merle, Nancy, MD 932 S Main St Pleasantville, NJ 08232 (609) 383-0880 Provider ID#: AT000002900 Mitchell, Rajan, DO� 932 S Main St Pleasantville, NJ 08232 (609) 383-0880 Provider ID#: 91001834401 Bergen County FAIR LAWN Chaudry, Mansoora R, MD� 41-04 Goldblatt Ter Fair Lawn, NJ 07410 (201) 797-7129 Provider ID#: 01004618800 Chaudry, Sadia R, MD� 41-04 Goldblatt Ter Fair Lawn, NJ 07410 (201) 797-7129 Provider ID#: 01004618901 GARFIELD Conte, Kenneth S, DO� 600 Midland Ave Garfield, NJ 07026 (973) 478-1212 Provider ID#: 01004603600 Bergen 1
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Primary Care Physicians Internal Me
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Primary Care Physicians Pediatrics
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Allergy & Immunology Luka, Richard,
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Allergy & Immunology Lee, Sylvia S,
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Anesthesiology Trivedi, Keyur C, MD
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Anesthesiology 90 Anesthesiology (c
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Anesthesiology Patel, Chandrakant,
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Anesthesiology Saulon, Winston, MD
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Audiology Watkis, Janis Y, MA� 18
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Audiology Audiology (continued) Wat
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Cardiovascular Disease Gioia, Giuse
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Cardiovascular Disease Fearn, Willi
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Cardiovascular Disease 110 Cardiova
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Cardiovascular Disease Rajiyah, Git
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Cardiovascular Disease Robbins, Dav
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Cardiovascular Disease Horvitz, Lew
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Cardiovascular Disease Ahmad, Tanve
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Cardiovascular Disease Cholankeril,
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Certified Nurse Midwife Scaffidi, R
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Certified Nurse Midwife O'Neil, Ell
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Chiropractics Winterbottom, Chad R,
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Chiropractics Santoro, Charles J, D
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Chiropractics Lavitan, Steven J, DC
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Chiropractics Krisciunas Jr, John D
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Chiropractics Rolandelli, Debra, DC
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Chiropractics Cerenzo, Peter J, DC
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Chiropractics Campana, Thomas A, DC
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Chiropractics Cohen, Lisa M, DC 100
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Chiropractics Bies, Daniel P, DC 52
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Chiropractics Loparo, Benjamin N, D
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Chiropractics Cianciulli, Glen G, D
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Colon & Rectal Surgery Empaynado, E
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Dermatology Singman, Brad, MD 14-23
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Dermatology Khasak, Dimitry, MD�
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Dermatopathology Horenstein, Marcel
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Emergency Medicine Trivedi, Maulik,
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Emergency Medicine 162 Emergency Me
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Emergency Medicine Schreck, David,
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Emergency Medicine Dalsey, William,
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Endocrinology Manougian, Ara, MD�
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Endocrinology Nil , Pudchong S, MD
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Gastroenterology Gastroenterology (
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General Surgery General Surgery (co
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Genetics Hamdani, Raza S, MD� 160
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Gynecologic Oncology Warshal, David
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Hematology Radovich, Delia, MD 94 O
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Hematology Oncology Hageboutros, Al
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Hematology Oncology Easaw, Sara J,
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Infectious Disease Infectious Disea
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Infectious Disease Infectious Disea
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Maternal Fetal Medicine Ganesh, Vij
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Medical Oncology Medical Oncology (
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Neonatal-Perinatal Medicine Neonata
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Nephrology Varallo, Gerardo, DO�
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Nephrology Nisar, Asif M, MD� 233
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Nephrology Moquete, Manuel J, MD 24
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Neurology Vanna, Stephen C, MD� 5
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Neurology Brannan, Timothy B, MD 50
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Neuroradiology Hinrichs, Clay, MD 1
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Nurse Practitioner Nurse Practition
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Nurse Practitioner Pediatrics Nurse
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Obstetrics & Gynecology Panganamamu
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Obstetrics & Gynecology Modena, Ali
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Obstetrics & Gynecology Suarez, Kat
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Obstetrics & Gynecology Principe, D
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Obstetrics & Gynecology 232 Obstetr
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Obstetrics & Gynecology Kitzis, Hug
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Obstetrics & Gynecology Nath, Mary
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Obstetrics & Gynecology Shah, Chand
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Obstetrics & Gynecology Ayers, Char
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Orthopedic Surgery Clements, David
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Orthopedic Surgery Vives, Michael J
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Orthopedics Kennard, William F, MD
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Otolaryngology Park, Robert, MD 904
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Pain Management Pain Management (co
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Pathology Cadoff, Evan, MD 1 Robert
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Pediatric Cardiology O'Connor, Bria
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Pediatric Emergency Medicine Whitne
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Pediatric Gastroenterology Galeano,
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Pediatric Hematology Barilari, Rafa
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Pediatric Infectious Disease Dieudo
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Pediatric Neurology Goldfarb, Olga,
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Pediatric Pulmonology Ramprasad, Va
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Physical Medicine & Rehabilitation
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Physical Medicine & Rehabilitation
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Physical Therapy Physical Therapy (
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Plastic Surgery Matthews, Martha S,
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Podiatry McEvoy, John J, DPM 294 E
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Podiatry Conti, Michael A, DPM� 1
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Podiatry Ponce, Javier R, DPM� 36
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Podiatry Reynolds, Eric K, DPM� 3
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Podiatry Rosenthal, Keith, DPM� 1
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Podiatry Limido, Teresa J, DPM 2333
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Pulmonary Disease Mangura, Bonita,
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Pulmonary Disease Miskoff, Jeffrey,
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Radiation Oncology Brady Jr, Luther
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Radiation Oncology Herskovic, Thoma
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Rheumatology Mahmood, Tariq, MD 90
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Sports Medicine Sports Medicine (co
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Thoracic Surgery Thoracic Surgery (
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Urological Surgery Delgaizo, Anthon
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Urology Rilli, Charles F, MD 213 Fr
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Vascular Surgery Vascular Surgery (
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Ophthalmology MOORESTOWN Sardi, Vin
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Ophthalmology Ophthalmology (contin
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Optometry Optometry (continued) Atl
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Optometry Optometry (continued) Ber
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Optometry Optometry (continued) Bur
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Optometry Optometry (continued) Cam
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Optometry Optometry (continued) Cam
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Optometry NUTLEY Shurminsky, Jr, Wa
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Optometry Optometry (continued) Hud
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Optometry N BRUNSWICK Chatterjee ,
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Optometry HAZLET Gershenow, Todd H,
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Optometry Optometry (continued) Oce
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Optometry Optometry (continued) Oce
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Optometry KENILWORTH Fiore, Lois G,
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Endodontist Beder, Abraham, DDS 176
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General Dentistry Dicesare, Daniel
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General Dentistry General Dentistry
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Oral and Maxillofacial Surgeon Herb
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Oral and Maxillofacial Surgeon Elba
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Orthodontist Oreilly, Maria T, DDS
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Orthodontist Simon, Lawerence S, DD
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Pediatric Dentistry Strachan, Davia
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Periodontist Mirmadjlessi, Nima, DD
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Prosthodontist Dietz, Andrew J, DDS
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Hospitals General Acute Care Hospit
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Ancillary Providers Ambulance Camde
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Ancillary Providers Audiology (cont
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Ancillary Providers DME Provider (c
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Ancillary Providers Home Health Age
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Ancillary Providers Home Infusion (
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Ancillary Providers Laboratory (con
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Ancillary Providers Laboratory (con
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Ancillary Providers Occupational Th
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Ancillary Providers Physical Medici
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Ancillary Providers Physical Therap
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Ancillary Providers Skilled Nursing
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Ancillary Providers Transportation
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Hudson North Hudson Community Actio
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Bergen At Home Medical Inc 315 Phil
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Middlesex Hanger Pros Orth Edison 2
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Index 4 4 Quarters Optical, #336...
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Index Ambu Car Inc ................
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Index Barbera , Frank T MD ........
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Index Bona, Marzena M MD ..........
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Index Caraballo, Ricardo MD........
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Index Cifelli, Anthony DC .........
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Index Daggan III, Ralph N CRNA ....
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Index Diorio, Joseph M DC .......14
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Index Fajardo, Gil V MD ...........
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Index Gaido, James C NP ...........
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Index Gonzalez, Lily W MD ....224,
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Index Haroz, Rachel MD ............
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Index Ibrahim, Ehab F MD...........
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Index Karmann, Richard B DMD ......
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Index Kozlovsky, Edward DMD374, 375
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Index Levine , Lawrence DPM..280, 2
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Index Malazarte, Justito MD .......
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Index Medrano, Christina MD........
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Index Morganstein, Richard L OD ...
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Index Oak Tree Surgery Center, LLC.
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Index Patel, Rambhai C MD..........
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Index Prosthetics & Orthotics Mgmt
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Index Rivera, Adaliz MD ...........
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Index Sam's Club Optical #4774 ....
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Index Sharan, Kanu P MD .188, 189,
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Index Soni, Dhiren DO .............
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Index Tannenbaum, Alan MD .........
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Index Vekeman, Denis G CRNA .......
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Index White, Jacquelynn A NP .216,
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Index Zuroff, David DMD............
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Primary Care Physicians - AmeriChoice

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