Individual
DR. MICHAEL ROBERT AGNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
(973) 754-3776
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
(973) 754-3776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09938000
NJ
Other
Enumeration date
03/28/2013
Last updated
03/09/2019
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