Michael J. Fidanzato, M.d., PA

NPI #1164680112 in Princeton, New Jersey

Provider Information

NPI Number: 1164680112
Entity Type: Organization
Organization Name: Michael J. Fidanzato, M.d., PA
Primary Specialty: Specialist
Enumeration Date: May 27, 2008
Last Updated: May 27, 2008

Practice Location

Address: 601 EWING ST
Address 2: SUITE C7
City: Princeton
State: New Jersey
ZIP Code: 08540-2757
Phone: (609) 921-7620

Authorized Official

Name: DR. MICHAEL FIDANZATO
Title: MD
Phone: (609) 921-7620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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