Individual
MARISSA ELLEN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 FLEETWOOD DR, ROCKAWAY, NJ 07866-2269
(973) 476-3798
Mailing address
54 FLEETWOOD DR, ROCKAWAY, NJ 07866-2269
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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