Individual
MS. JACQUELYN MARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 462-0321
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 462-0321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02592900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
05/05/2014
Last updated
08/06/2016
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