Individual
MARIANNA B. SHIMELFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
48-50 FAIRFIELD STREET, MONTCLAIR, NJ 07042
(973) 744-8511
(973) 744-6356
Mailing address
PO BOX 95000-2454, PHILADELPHIA, PA 19195-2454
(718) 218-0450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09722100
NJ
Other
Enumeration date
10/05/2010
Last updated
07/08/2019
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