Individual
DR. MAURIZIO A. MIGLIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
222 CEDAR LN STE 201, TEANECK, NJ 07666-4312
(888) 320-0922
(888) 909-4197
Mailing address
800 PARK AVE APT 2903, FORT LEE, NJ 07024-3779
(888) 320-0922
(888) 909-4197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MB0670800
NJ
2086S0102X
Surgical Critical Care Physician
Primary
225720
NY
2086S0127X
Trauma Surgery Physician
MB67018
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233768
—
NY
05
—
7648707
—
NJ
Enumeration date
09/20/2005
Last updated
07/24/2020
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