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Individual

DR. MICHAEL J LANDOLFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
567 FRANKLIN AVE, BELLEVILLE, NJ 07109-1540
(973) 751-4500
(973) 751-3073
Mailing address
31 BIRCHWOOD LN, NORTH HALEDON, NJ 07508-3139

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MB0749600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223670968
HORIZON BLUR CROSS/BLUE S
NJ
01
223670968003
ST BARNABUS
NJ
01
2336686
UNITED HEALTHCARE
NJ
05
2938103
NJ
01
2K5880
HEALTH NET
NJ
01
3324544
AETNA
NJ
01
471A6
WELL CHOICE
NJ
01
5703108
CIGNA
NJ
01
AMERIHEALTH
2255955000
NJ
01
GHI
0498408
NJ
01
OXFORD
P2967964
NJ
Enumeration date
01/27/2006
Last updated
07/07/2010
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