Organization
MICHAEL J. FIDANZATO, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FIDANZATO (MD)
(609) 921-7620
Entity
Organization
Contact information
Practice address
601 EWING ST, SUITE C7, PRINCETON, NJ 08540-2757
(609) 921-7620
Mailing address
601 EWING ST, SUITE C7, PRINCETON, NJ 08540-2757
(609) 921-7620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA54952
NJ
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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