Healthcare Provider Details

I. General information

NPI: 1235126772
Provider Name (Legal Business Name): PATRICK CONTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 MAIN ST
PATERSON NJ
07503-2621
US

IV. Provider business mailing address

91 STILES RD ATT:SHARON SILVA
SALEM NH
03079-2846
US

V. Phone/Fax

Practice location:
  • Phone: 978-754-2645
  • Fax:
Mailing address:
  • Phone: 800-927-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number25MA02656900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA02656900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: