# EDWARD D MASTROMONACO, D.O.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891098711
- **Authorized official:** DR. EDWARD D MASTROMONACO D.O.P.A. (PHYSICIAN)
- **Authorized official phone:** (201) 339-2284

## Contact information

- **Practice address:** 696 AVENUE C, BAYONNE, NJ 07002-2807
- **Practice address phone:** (201) 339-2284
- **Practice address fax:** (201) 339-7922
- **Mailing address:** 696 AVENUE C, BAYONNE, NJ 07002-2807
- **Mailing address phone:** (201) 339-2284
- **Mailing address fax:** (201) 339-7922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 2334-6 | NJ | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010