Individual
ALLAN MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 RED HILL RD, MIDDLETOWN, NJ 07748
(848) 225-6000
Mailing address
480 RED HILL RD # G106A, MIDDLETOWN, NJ 07748-3052
(848) 225-6331
(201) 691-6700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
010567
NY
363AM0700X
Medical Physician Assistant
MA052104
PA
363AS0400X
Surgical Physician Assistant
010567
NY
363AS0400X
Surgical Physician Assistant
Primary
25MA09969200
NJ
Other
Enumeration date
08/06/2007
Last updated
08/07/2018
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