MEDICARE: DR. CHRISTIAN ANTHONY ROBERTOZZI DPM

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
1	213ES0131X	Foot Surgery Podiatrist	25MD00129400	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1053316885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTIAN ANTHONY ROBERTOZZI DPM

Provider Business Mailing Address
First Line	:	222 HIGH ST
Second Line	:	STE 201
City	:	NEWTON
State	:	NJ
Zip	:	07860-9612
Country	:	US
Telephone Number	:	973-579-1300
Fax Number	:	973-579-5777

Provider Business Practice Location Address
First Line	:	222 HIGH ST
Second Line	:	STE 201
City	:	NEWTON
State	:	NJ
Zip	:	07860-9612
Country	:	US
Telephone Number	:	973-579-1300
Fax Number	:	973-579-5777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/09/2007

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