Individual
MARIO L MAIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
539 EGG HARBOR RD, STE 1, SEWELL, NJ 08080-2371
(856) 589-0300
(856) 589-1753
Mailing address
539 EGG HARBOR RD, #1 WASHINGTON MEDICAL ARTS BUILDING, SEWELL, NJ 08080-2371
(856) 589-0300
(856) 589-1753
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MB24565
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1203703
—
NJ
Enumeration date
08/18/2005
Last updated
05/15/2013
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