Individual
DR. MARIELAINA S DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 ENGLE ST, DEPARTMENT OF MEDICINE, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Mailing address
350 ENGLE ST, DEPARTMENT OF MEDICINE, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06822600
NJ
Other
Enumeration date
07/26/2006
Last updated
12/31/2015
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