Individual
MARISSA NICOLE IONNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 KINGS WAY E STE A3, WASHINGTON PAVILIONS, SEWELL, NJ 08080-2237
(856) 589-3331
(856) 589-3416
Mailing address
100 KINGS WAY E STE A3, WASHINGTON PAVILIONS, SEWELL, NJ 08080-2237
(856) 589-3331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00421200
NJ
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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