Individual
MARYANN ALESSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
349 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 667-8889
Mailing address
349 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 667-8889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB63953
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8019606
—
NJ
Enumeration date
08/26/2006
Last updated
12/26/2023
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