Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J. Fidanzato, MD, PA

Organization Specialist · NPI 1164680112

Michael J. Fidanzato, MD, PA is a Specialist in Princeton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Ewing St Ste C7
Princeton, NJ 08540-2757
Phone: (609) 921-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA54952 (NJ)

Record details

NPI number1164680112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Fidanzato — Md · (609) 921-7620
NPI enumeratedMay 27, 2008
Last updated in NPPESMay 27, 2008
Mailing address601 Ewing St, Suite C7, Princeton, NJ 08540-2757

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