Provider Demographics
NPI:1619361011
Name:BARETTO, LUIGI U (MD)
Entity Type:Individual
Prefix:
First Name:LUIGI
Middle Name:U
Last Name:BARETTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-4131
Mailing Address - Country:US
Mailing Address - Phone:609-391-7500
Mailing Address - Fax:609-391-0963
Practice Address - Street 1:201 WEST AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226
Practice Address - Country:US
Practice Address - Phone:609-391-7500
Practice Address - Fax:609-391-0963
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10291200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine