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Individual

DR. C. MICHAEL KNEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44 GODWIN AVE, SUITE 103, MIDLAND PARK, NJ 07432-1969
(201) 444-5004
(201) 670-0356
Mailing address
44 GODWIN AVE, SUITE 103, MIDLAND PARK, NJ 07432-1969
(201) 444-5004
(201) 670-0356

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03716000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01077794100
AMERICHOICE ST. JOSEPH'S
NJ
01
1028498
HORIZON MERCY OFFICE
NJ
01
10764
AMERIGROUP-AMERICAID
NJ
01
222379156
TAX I.D.
NJ
05
3058905
NJ
01
370017079
MEDICARE RAILROAD
NJ
01
49705
AETNA
NJ
01
90000053401
AMERICHOICE OFFICE
NJ
01
HNF11542
HEALTH NET
NJ
01
P1225478
OXFORD
NJ
Enumeration date
10/04/2006
Last updated
08/13/2014
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