| Michael A. Degennaro, M.d. | |
|
161- A North Washington Ave. Bergenfield NJ 07646-1739 | |
| (201) 387-6900 | |
| (201) 387-1650 |
| Full Name | Michael A. Degennaro, M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 161- A North Washington Ave., Bergenfield, New Jersey |
| Authorized Official Name and Position | Michael A Degennaro (OWNER) |
| Authorized Official Contact | 2013876900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Degennaro, M.d. 161- A North Washington Ave. Bergenfield NJ 07646-1739 Ph: (201) 387-6900 | Michael A. Degennaro, M.d. 161- A North Washington Ave. Bergenfield NJ 07646-1739 Ph: (201) 387-6900 |
| NPI Number | 1720105828 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720105828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA43770 (New Jersey) | Primary |
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