MEDICARE: DR. ANDREW CORONATO 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	207RG0100X	Gastroenterology Physician	MA24325	NJ

General Provider Information

NPI Number	:	1497747489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW CORONATO MD

Provider Business Mailing Address
First Line	:	940 FOX HILL LN
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-3404
Country	:	US
Telephone Number	:	908-753-4481
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 FOX HILL LN
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-3404
Country	:	US
Telephone Number	:	908-753-4481
Fax Number	:

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	01/08/2020

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