Individual
DR. JOAN OF ARC MARIYAMPILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 BLOOMFIELD AVE, SUITE LL-1, VERONA, NJ 07044-1366
(973) 239-3770
(973) 239-3774
Mailing address
10 FLORENCE PL, CALDWELL, NJ 07006-5608
(862) 251-4690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA070156
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8929602
—
NJ
Enumeration date
03/23/2006
Last updated
11/08/2023
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