Individual
NICOLE TOSCANA MARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8504
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11892100
NJ
2080P0202X
Pediatric Cardiology Physician
Primary
25MA11892100
NJ
Other
Enumeration date
03/24/2016
Last updated
05/02/2024
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