Individual
DR. MICHAEL ANGELO IMBRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19 HOLLY ST, CRANFORD, NJ 07016-2158
(908) 272-4711
Mailing address
1050 GEORGE ST, APT: 6G, NEW BRUNSWICK, NJ 08901-1012
(917) 848-2318
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB08272700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162850
—
NJ
01
—
P00788983
RR MEDICARE
NJ
Enumeration date
06/15/2007
Last updated
03/02/2010
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