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NPI Code Detail

MEDICARE: DR. MARK RAMETTA D.O.

MEDICARE: DR. MARK RAMETTA D.O.
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
1207R00000XInternal Medicine PhysicianMB48584NJ

General Provider Information

NPI Number : 1114141652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK RAMETTA D.O.
Provider Business Mailing Address
First Line : 52 SKYLINE DR
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2020
Country : US
Telephone Number : 973-962-6200
Fax Number : 973-962-0046
Provider Business Practice Location Address
First Line : 52 SKYLINE DR
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2020
Country : US
Telephone Number : 973-962-6200
Fax Number : 973-962-0046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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