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Individual

MAURO ANTHONY MECCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 S MAIN ST, LODI, NJ 07644-2240
(973) 778-3303
(973) 778-3304
Mailing address
32 SAWYER CT, ALLENDALE, NJ 07401-1339
(201) 236-2446
(973) 778-3304

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
132599
NY
207R00000X
Internal Medicine Physician
Primary
25MA03656200
NJ

Other

Enumeration date
01/06/2007
Last updated
07/08/2007
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