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NPI Code Detail

MEDICARE: JOHN MORETTI

MEDICARE: JOHN MORETTI
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
1163W00000XRegistered NurseRN378803OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326306531
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MORETTI
Provider Business Mailing Address
First Line : 535 MARMION AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44502-2323
Country : US
Telephone Number : 330-782-5664
Fax Number :
Provider Business Practice Location Address
First Line : 3120 W MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44485-3069
Country : US
Telephone Number : 330-898-6992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 04/25/2012

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