MEDICARE: DR. MARIANO CATALANO M.D.

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	208000000X	Pediatrics Physician	25MA08287800	NJ
2	208000000X	Pediatrics Physician	280462-1	NY

General Provider Information

NPI Number	:	1245430909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIANO CATALANO M.D.

Provider Business Mailing Address
First Line	:	18 PAGE AVE
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-2611
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 PAGE AVE
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-2611
Country	:	US
Telephone Number	:	201-925-7023
Fax Number	:

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

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	04/27/2018

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