MEDICARE: DIEGO A MORREALE 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	207R00000X	Internal Medicine Physician	25MA08225900	NJ
2	207R00000X	Internal Medicine Physician	042847	CT
3	207R00000X	Internal Medicine Physician	234453	NY

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
2	042847	OTHER	CT	CONNECTICARE HMO
3	7251638	OTHER	CT	AETNA

General Provider Information

NPI Number	:	1770583098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIEGO A MORREALE M.D.

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

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

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/29/2010

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