Individual
DR. MICHAEL J FIDANZATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 EWING ST, SUITE C7, PRINCETON, NJ 08540-2757
(609) 921-7620
(609) 921-0869
Mailing address
10 ADAMS DR, BELLE MEAD, NJ 08502-4615
(609) 921-7620
(609) 921-0869
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA54952
NJ
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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