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NPI Code Detail

MEDICARE: BETH NALITT MD

MEDICARE: BETH NALITT MD
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 Physician25MA05165500NJ

General Provider Information

NPI Number : 1144210543
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH NALITT MD
Provider Business Mailing Address
First Line : 120 MILLBURN AVE
Second Line : SUITE 206
City : MILLBURN
State : NJ
Zip : 07041-1942
Country : US
Telephone Number : 973-467-9282
Fax Number : 973-467-0340
Provider Business Practice Location Address
First Line : 85 WOODLAND RD
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2449
Country : US
Telephone Number : 973-315-9076
Fax Number : 973-376-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 07/10/2019

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