Individual
MRS. MAUREEN GISSELL HEIMENRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
403 STONE RD, UNION BEACH, NJ 07735-2726
(732) 217-1570
Mailing address
403 STONE RD, UNION BEACH, NJ 07735-2726
(732) 217-1570
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
581654
NY
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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