MEDICARE: DR. RODOLFO A MUNERA MD

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	207RI0200X	Infectious Disease Physician	MA060136	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	:	1154382760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODOLFO A MUNERA MD

Provider Business Mailing Address
First Line	:	40 MITCHELL AVE
Second Line	:
City	:	WEST CALDWELL
State	:	NJ
Zip	:	07006-7806
Country	:	US
Telephone Number	:	973-472-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 CLIFTON AVE STE 1B
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07013-3586
Country	:	US
Telephone Number	:	973-472-8000
Fax Number	:

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	10/31/2011

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