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Individual

DR. ELAINE MARIOLIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
252 SMITH ST, PERTH AMBOY, NJ 08861-4004
(732) 826-5400
(732) 826-5488
Mailing address
252 SMITH ST, PERTH AMBOY, NJ 08861-4004
(732) 826-5400
(732) 826-5488

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002595
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8730105
NJ
Enumeration date
05/20/2006
Last updated
07/08/2007
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