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Individual

DR. DANIELE MERLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
366 PASSAIC AVE, NUTLEY, NJ 07110-2737
(917) 692-7420
Mailing address
249 AUDLEY ST, SOUTH ORANGE, NJ 07079-1401
(917) 692-7420

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
219333
NY
208000000X
Pediatrics Physician
Primary
25MA09831300
NJ

Other

Enumeration date
05/17/2007
Last updated
04/24/2018
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