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General NPI Number Information
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NPI Number | 1861033474
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Entity Type | Individual
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Provider Name | MICHAEL A MONTEMARANO DO
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Gender | Male
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1 E. NEW YORK AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2300
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Country | US
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Telephone | 609-653-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL CENTER WAY
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2300
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Country | US
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Telephone | 609-653-3500
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MB11738800
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License Number State | NJ
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