Provider Demographics
NPI:1023398500
Name:BATTAGLIA, MICHAEL PATRICK
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PATRICK
Last Name:BATTAGLIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 COLUMBIA TPKE
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1366
Mailing Address - Country:US
Mailing Address - Phone:973-805-7420
Mailing Address - Fax:973-805-7422
Practice Address - Street 1:2500 MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-1473
Practice Address - Country:US
Practice Address - Phone:844-785-3937
Practice Address - Fax:844-567-3937
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21864183500000X
OK19554183500000X
MD29477183500000X
MAPH1002529183500000X
NJ28RI02860400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist