# J&M MARIYAMPILLAI L L C

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

## Provider details

- **NPI number:** 1891854030
- **Authorized official:** DR. MARCARIOUS A MARIYAMPILLAI M.D. (PARTNER)
- **Authorized official phone:** (973) 239-3770

## Contact information

- **Practice address:** 825 BLOOMFIELD AVE, SUITE LL-1, VERONA, NJ 07044-1366
- **Practice address phone:** (973) 239-3770
- **Practice address fax:** (973) 239-3774
- **Mailing address:** 825 BLOOMFIELD AVE, SUITE LL-1, VERONA, NJ 07044-1366
- **Mailing address phone:** (973) 239-3770
- **Mailing address fax:** (973) 239-3774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 07/25/2008
