Individual
DR. MICHAEL M MAINERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 BROWERTOWN RD, SUITE 202, WEST PATERSON, NJ 07424-2671
(973) 785-0102
(973) 785-2205
Mailing address
205 BROWERTOWN RD, SUITE 202, WEST PATERSON, NJ 07424-2671
(973) 785-0102
(973) 785-2205
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
NJ55027
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5510708
—
NJ
Enumeration date
08/13/2006
Last updated
12/15/2014
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