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Individual

DR. MARIA VIEIRA PICCIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
36 PACIFIC ST, NEWARK, NJ 07105-1665
(973) 578-4808
(973) 578-2939
Mailing address
6 THAYER CT, FLORHAM PARK, NJ 07932-1703
(973) 377-2974

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA56749
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5473403
NJ
Enumeration date
07/20/2006
Last updated
07/08/2007
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