MEDICARE: DR. JAMES M CHIMENTI 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	174400000X	Specialist	MA65678	NJ

General Provider Information

NPI Number	:	1942203195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES M CHIMENTI MD

Provider Business Mailing Address
First Line	:	1952 ROUTE 22 E
Second Line	:	STE 201
City	:	BOUND BROOK
State	:	NJ
Zip	:	08805-1545
Country	:	US
Telephone Number	:	732-302-1720
Fax Number	:	732-302-1724

Provider Business Practice Location Address
First Line	:	1952 ROUTE 22 E
Second Line	:	STE 201
City	:	BOUND BROOK
State	:	NJ
Zip	:	08805-1545
Country	:	US
Telephone Number	:	732-302-1720
Fax Number	:	732-302-1724

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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