MEDICARE: DR. MARIA POLIZZI 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	207R00000X	Internal Medicine Physician	210263	MA
2	207R00000X	Internal Medicine Physician	25MA08288400	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	:	1679543953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA POLIZZI MD

Provider Business Mailing Address
First Line	:	225 NEWTONS CORNER RD
Second Line	:	RAMTOWN MEDICAL CENTER
City	:	HOWELL
State	:	NJ
Zip	:	07731-8818
Country	:	US
Telephone Number	:	732-458-9760
Fax Number	:	732-458-9762

Provider Business Practice Location Address
First Line	:	225 NEWTONS CORNER RD
Second Line	:	RAMTOWN MEDICAL CENTER
City	:	HOWELL
State	:	NJ
Zip	:	07731-8818
Country	:	US
Telephone Number	:	732-458-9760
Fax Number	:	732-458-9762

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	12/27/2012

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