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General NPI Number Information
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NPI Number | 1558381681
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Entity Type | Individual
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Provider Name | GIUSEPPE MILITELLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 455 ROUTE 70 W
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3524
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Country | US
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Telephone | 856-520-8331
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Fax |
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Provider Business Mailing Address
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Address Line | 1947 E 23RD ST
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City | BROOKLYN
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State | NY
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Zip | 11229-3617
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Country | US
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Telephone | 917-715-6225
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 239924
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 239924
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License Number State | NY
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