Individual
DR. MYRTLE HERRIN MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 EAST GREENBROOK ROAD, NORTH CALDWELL, NJ 07006
(973) 226-5151
(973) 226-5151
Mailing address
39 EAST GREENBROOK ROAD, NORTH CALDWELL, NJ 07006
(973) 226-5151
(973) 226-5151
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA02932800
NJ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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