Individual
ROSE MARY MEROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 389-5661
(908) 301-5456
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 389-5661
(908) 301-5456
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
25MA04634700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0675516
CIGNA HEALTHCARE
NJ
01
—
1096732
HORIZON NJ HEALTH
NJ
01
—
2206505
CIGNA BEHAVIORAL HEALTHCA
NJ
01
—
2214817148-029
QUALCARE
NJ
01
—
2K4300
HEALTHNET
NJ
01
—
5058643
AETNA HEALTHCARE
NJ
01
—
93144
AMERIGROUP
NJ
Enumeration date
02/24/2006
Last updated
07/08/2007
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