MEDICARE: DR. MICHAEL JOHN FIORE 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	207X00000X	Orthopaedic Surgery Physician	25MA02665700	NJ

General Provider Information

NPI Number	:	1437285715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN FIORE M.D.

Provider Business Mailing Address
First Line	:	110 DOUGLAS RD
Second Line	:
City	:	FAR HILLS
State	:	NJ
Zip	:	07931-2512
Country	:	US
Telephone Number	:	973-713-2670
Fax Number	:	908-234-2416

Provider Business Practice Location Address
First Line	:	110 DOUGLAS RD
Second Line	:
City	:	FAR HILLS
State	:	NJ
Zip	:	07931-2512
Country	:	US
Telephone Number	:	973-713-2670
Fax Number	:	908-234-2416

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/08/2007

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