Organization
NEW PROVIDENCE FAMILY PRACTICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO GIOVANNI MARTINETTI M.D. (PRESIDENT)
(908) 771-9311
Entity
Organization
Contact information
Practice address
139 SOUTH ST, SUITE 201, NEW PROVIDENCE, NJ 07974-1999
(908) 771-9311
(908) 771-9302
Mailing address
139 SOUTH ST, SUITE 201, NEW PROVIDENCE, NJ 07974-1999
(908) 771-9311
(908) 771-9302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04919800
NJ
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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