Provider Demographics
NPI:1346312774
Name:MORONE, JOHN M (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:MORONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 HAMBURG TPK SUITE #8
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-942-5230
Mailing Address - Fax:973-942-6652
Practice Address - Street 1:220 HAMBURG TPK SUITE #8
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-942-5230
Practice Address - Fax:973-942-6652
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA36524207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ556275Medicare ID - Type Unspecified
E13372Medicare UPIN