Individual
DR. MICHAEL AUGUST DEGENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161A N WASHINGTON AVE, BERGENFIELD, NJ 07621-1739
(201) 387-6900
(201) 387-1650
Mailing address
161A N WASHINGTON AVE, BERGENFIELD, NJ 07621-1739
(201) 387-6900
(201) 387-1650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA43770
NJ
Other
Enumeration date
05/04/2006
Last updated
07/14/2010
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