Individual
MARYELLEN L HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 MADISON AVENUE, SUITE 203, MORRISTOWN, NJ 07960-1905
(973) 971-7080
(973) 290-8312
Mailing address
P.O. BOX 416524, BOSTON, MA 02241-6524
(973) 971-7080
(973) 290-8312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05844200
NJ
174400000X
Specialist
25MA05844300
NJ
Other
Enumeration date
08/20/2006
Last updated
10/25/2011
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