Individual
DR. MARIA JOSE VASENA MARENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
#39
Contact information
Practice address
330 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2506
(973) 841-5112
(973) 826-5064
Mailing address
18 MAPLE AVE, MAHWAH, NJ 07430-1233
(201) 529-1595
(973) 826-5064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09694700
NJ
Other
Enumeration date
11/04/2012
Last updated
08/03/2015
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