Provider Demographics
NPI:1417169632
Name:DANIEL P. CONTE, III, PC
Entity Type:Organization
Organization Name:DANIEL P. CONTE, III, PC
Other - Org Name:STRUCTURE & FUNCTION
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:CONTE
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:973-253-1900
Mailing Address - Street 1:600 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1603
Mailing Address - Country:US
Mailing Address - Phone:973-253-1900
Mailing Address - Fax:973-253-6323
Practice Address - Street 1:600 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1603
Practice Address - Country:US
Practice Address - Phone:973-253-1900
Practice Address - Fax:973-253-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB52140204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF83513Medicare UPIN
NJ034007Medicare ID - Type Unspecified