Individual
DR. MARCO TARTAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 WATSESSING AVE, BLOOMFIELD, NJ 07003-4613
(973) 364-0888
(973) 364-0889
Mailing address
244 PARK AVE, NORTH CALDWELL, NJ 07006-4241
(973) 364-0888
(973) 364-0889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA052009
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5165514
—
NJ
Enumeration date
07/20/2006
Last updated
03/10/2014
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