Michael J. Fidanzato, M.d., PA
Specialist in Princeton, New Jersey
1164680112- Practice location
- 601 Ewing St, Suite C7, Princeton, NJ 08540-2757
- Phone
- 609-921-7620
- Fax
- —
- Last updated
- May 27, 2008
Michael J. Fidanzato, M.d., PA is a healthcare organization based in Princeton, NJ. Michael J. Fidanzato, M.d., PA practices in Princeton, NJ. The NPI Number for Michael J. Fidanzato, M.d., PA is 1164680112 and holds a License No. MA54952 (NJ). The current practice location address for Michael J. Fidanzato, M.d., PA is 601 Ewing St, Suite C7, Princeton, NJ 08540-2757 and can be reached out via phone at 609-921-7620.
Provider Profile Details
- NPI Number
- 1164680112
- Provider Name
- Michael J. Fidanzato, M.d., PA
- Provider Entity Type
- Organization
- Address
- 601 Ewing St, Suite C7, Princeton, NJ 08540-2757
- Phone Number
- 609-921-7620
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Fidanzato · MD · 609-921-7620
- Provider Enumeration Date
- May 27, 2008
- Last Update Date
- May 27, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 601 Ewing St
Suite C7
Princeton, NJ 08540-2757 - City
- Princeton
- State
- New Jersey
- Zip
- 08540-2757
- Phone Number
- 609-921-7620
Provider Business Mailing Address Details
- Address
- 601 Ewing St
Suite C7
Princeton, NJ 08540-2757 - City
- Princeton
- State
- NJ
- Zip
- 08540-2757
- Phone Number
- 609-921-7620
License Information
- License Number
- MA54952
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael J. Fidanzato, M.d., PA?
The NPI number of Michael J. Fidanzato, M.d., PA is 1164680112. It was assigned on May 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Michael J. Fidanzato, M.d., PA?
Michael J. Fidanzato, M.d., PA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA54952.
Where does Michael J. Fidanzato, M.d., PA practice?
The practice location is 601 Ewing St, Suite C7, Princeton, NJ 08540-2757. The office can be reached at 609-921-7620 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164680112 directly on the NPPES registry website.