Individual
MARYELLEN MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 NEW BRIDGE RD, BERGENFIELD, NJ 07621-4112
(201) 385-6883
(201) 385-3594
Mailing address
270 JOHN OCHS DR, SADDLE BROOK, NJ 07663-5023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI21470
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI21470
NPPES
—
Enumeration date
02/20/2008
Last updated
02/20/2008
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