Provider Demographics
NPI:1225728249
Name:MARIA THERESA PALOMATA LLC
Entity Type:Organization
Organization Name:MARIA THERESA PALOMATA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:PALOMATA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-981-7160
Mailing Address - Street 1:2091 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3416
Mailing Address - Country:US
Mailing Address - Phone:609-981-7160
Mailing Address - Fax:
Practice Address - Street 1:2091 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3416
Practice Address - Country:US
Practice Address - Phone:609-981-7160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty