Active NPIIndividual providerSole proprietor

Dr. Michael J Fidanzato, MD

Internal Medicine, Gastroenterology in Princeton, New Jersey

NPI Number1881750834
Practice location
601 Ewing St, Suite C7, Princeton, NJ 08540-2757
Fax
609-921-0869
Last updated
July 8, 2007

Michael J Fidanzato is an Internal Medicine, Gastroenterology based in Princeton, NJ. Michael J Fidanzato practices in Princeton, NJ and has the professional credentials of MD. The NPI Number for Michael J Fidanzato is 1881750834 and holds a License No. ma54952 (NJ). The current practice location address for Michael J Fidanzato is 601 Ewing St, Suite C7, Princeton, NJ 08540-2757 and can be reached out via phone at 609-921-7620 and via fax at 609-921-0869.

Provider Profile Details

NPI Number
1881750834
Provider Name
Michael J Fidanzato
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 Ewing St, Suite C7, Princeton, NJ 08540-2757
Phone Number
609-921-7620
Fax Number
609-921-0869
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
December 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 Ewing St
Suite C7
Princeton, NJ 08540-2757
Zip
08540-2757
Phone Number
609-921-7620
Fax Number
609-921-0869
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
10 Adams Dr
Belle Mead, NJ 08502-4615
City
Belle Mead
State
NJ
Zip
08502-4615
Phone Number
609-921-7620
Fax Number
609-921-0869

License Information

License Number
ma54952
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Michael J Fidanzato, MD?

The NPI number of Dr. Michael J Fidanzato, MD is 1881750834. It was assigned on December 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Fidanzato, MD?

Dr. Michael J Fidanzato, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number ma54952.

Where does Dr. Michael J Fidanzato, MD practice?

The practice location is 601 Ewing St, Suite C7, Princeton, NJ 08540-2757. The office can be reached at 609-921-7620 (phone) or 609-921-0869 (fax).

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 1881750834 directly on the NPPES registry website.

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