Provider Demographics
NPI:1689855769
Name:PRATT, MICHAEL ELWOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ELWOOD
Last Name:PRATT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:170 FRELINGHUYSEN RD
Mailing Address - Street 2:CLINICAL RESEARCH AND OCCUPATIONAL MEDICINE DIVISION
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-8020
Mailing Address - Country:US
Mailing Address - Phone:732-445-0123
Mailing Address - Fax:732-445-0130
Practice Address - Street 1:170 FRELINGHUYSEN RD
Practice Address - Street 2:CLINICAL RESEARCH AND OCCUPATIONAL MEDICINE DIVISION
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-8020
Practice Address - Country:US
Practice Address - Phone:732-445-0123
Practice Address - Fax:732-445-0130
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-17
Last Update Date:2007-11-17
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06026700207P00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine