Individual
MARIZA PORTELA DE BRITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
512 KEARNY AVE STE B, KEARNY, NJ 07032-2703
(201) 998-7474
Mailing address
512 KEARNY AVE STE B, KEARNY, NJ 07032-2703
(201) 998-7474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10132800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2014
Last updated
10/09/2020
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