MEDICARE: RAMTOWN MEDICAL CENTER, LLC

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

General Provider Information

NPI Number	:	1982855128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMTOWN MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	225 NEWTONS CORNER ROAD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731
Country	:	US
Telephone Number	:	732-458-6400
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	:	732-458-6400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DIEGO MORREALLE
Credential	:	MD
Telephone Number	:	732-458-6400

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	10/07/2008

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