MEDICARE: DR. PAUL J LOVERME 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	174400000X	Specialist	MA36452	NJ

General Provider Information

NPI Number	:	1871584029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL J LOVERME M.D.

Provider Business Mailing Address
First Line	:	825 BLOOMFIELD AVE
Second Line	:	SUITE 205
City	:	VERONA
State	:	NJ
Zip	:	07044-1366
Country	:	US
Telephone Number	:	973-857-9499
Fax Number	:	973-857-9453

Provider Business Practice Location Address
First Line	:	825 BLOOMFIELD AVE
Second Line	:	SUITE 205
City	:	VERONA
State	:	NJ
Zip	:	07044-1366
Country	:	US
Telephone Number	:	973-857-9499
Fax Number	:	973-857-9453

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/08/2007

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