Individual
MICHAEL LORETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
784 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417
(844) 777-0910
(201) 560-0712
Mailing address
784 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1306
(844) 777-0910
(201) 560-0712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA06144600
NJ
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
25MA06144600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K4428
HEALTHNET #
NJ
01
—
200034632
RR MDCR #
NJ
01
—
5U8681
EMPIRE BC/BS NY #
NJ
01
—
P461978
OXFORD #
NJ
Enumeration date
08/31/2005
Last updated
12/02/2019
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