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NPI Code Detail

MEDICARE: BART E. MAGGIO & PETER K. FINELLI

MEDICARE: BART E. MAGGIO & PETER K. FINELLI
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
1207Q00000XFamily Medicine PhysicianMB018796NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619188414
Entity Type Code : Organization
Provider Name (Legal Business Name) : BART E. MAGGIO & PETER K. FINELLI
Provider Business Mailing Address
First Line : 67 BROADWAY
Second Line :
City : ELMWOOD PARK
State : NJ
Zip : 07407-1836
Country : US
Telephone Number : 201-796-4444
Fax Number : 201-796-4034
Provider Business Practice Location Address
First Line : 67 BROADWAY
Second Line :
City : ELMWOOD PARK
State : NJ
Zip : 07407-1836
Country : US
Telephone Number : 201-796-4444
Fax Number : 201-796-4034
Authorized Official
Title or Position : OFFICE MANAGER
Name : CYNTHIA DESANE
Credential :
Telephone Number : 201-796-4444
Provider Enumeration Date : 05/24/2007
Last Update Date : 08/22/2020

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