| NPI | 1720105828 |
|---|---|
| Doing Business As | MICHAEL A. DEGENNARO, M.D. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A DEGENNARO Owner 201-387-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA43770) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |