Individual
DR. MIGUEL ANGEL CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
340 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950-2124
(973) 267-9899
(973) 401-1201
Mailing address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
(973) 401-1201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09119900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300659
—
NJ
Enumeration date
07/21/2011
Last updated
06/28/2021
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