Individual
MEGHAN MARENCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 BRIDLE WAY, SPARTA, NJ 07871-1738
(973) 903-6095
Mailing address
23 BRIDLE WAY, SPARTA, NJ 07871-1738
(973) 903-6095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00090200
NJ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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