Individual
MICHAEL SCRIMENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 FRANKLIN TPKE, MAHWAH, NJ 07430-3516
(201) 818-9100
Mailing address
400 FRANKLIN TPKE, MAHWAH, NJ 07430-3516
(201) 818-9100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA03974600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3284506
—
NJ
01
—
P00415504
MEDICARE RAILROAD
NJ
Enumeration date
10/03/2006
Last updated
11/19/2007
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