# MARYANN ALESSIO DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396059507
- **Authorized official:** MARYANN ALESSIO DO (OWNER)
- **Authorized official phone:** (973) 667-8889

## Contact information

- **Practice address:** 349 PASSAIC AVE, NUTLEY, NJ 07110-2738
- **Practice address phone:** (973) 667-8889
- **Practice address fax:** (973) 667-5665
- **Mailing address:** 349 PASSAIC AVE, NUTLEY, NJ 07110-2738
- **Mailing address phone:** (973) 667-8889
- **Mailing address fax:** (973) 667-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MB63953 | NJ | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 05/06/2014