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NPI Code Detail

MEDICARE: MICHAEL DIGANGI

MEDICARE: MICHAEL DIGANGI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770298887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DIGANGI
Provider Business Mailing Address
First Line : 45 ROCKWELL CIR
Second Line :
City : MARLBORO
State : NJ
Zip : 07746-1158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 METRO BLVD
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-6101
Country : US
Telephone Number : 973-275-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2023
Last Update Date : 01/23/2023

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Directions to “ MICHAEL DIGANGI ” Practice Location

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