MEDICARE: ANDREW MICHAEL CONFORTO PHARMD

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	183500000X	Pharmacist	28RI04319100	NJ

General Provider Information

NPI Number	:	1104509975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MICHAEL CONFORTO PHARMD

Provider Business Mailing Address
First Line	:	41 BEAVER DAM RD
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-1368
Country	:	US
Telephone Number	:	609-224-7011
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 NEW RD
Second Line	:
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244-2134
Country	:	US
Telephone Number	:	609-653-8343
Fax Number	:

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

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	09/18/2023

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