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NPI Code Detail

MEDICARE: DR. FABIO A. PIAZZA M.D.

MEDICARE: DR. FABIO A. PIAZZA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25MA10546700NJ

General Provider Information

NPI Number : 1023226958
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FABIO A. PIAZZA M.D.
Provider Business Mailing Address
First Line : 288 BOULEVARD STE 2
Second Line :
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-1319
Country : US
Telephone Number : 201-288-6781
Fax Number : 201-288-2734
Provider Business Practice Location Address
First Line : 288 BOULEVARD STE 2
Second Line :
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-1319
Country : US
Telephone Number : 201-288-6781
Fax Number : 201-288-2734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 09/19/2019

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