Individual
MICHAEL DESIDERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MADISON AVE, SUITE 2001, MORRISTOWN, NJ 07960-6136
(973) 682-2136
Mailing address
1752 MERRIAM DR, SUITE 2001, MARTINSVILLE, NJ 08836-2378
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MB09518300
NJ
Other
Enumeration date
11/01/2010
Last updated
05/24/2021
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