Individual
CARMEL-ANN MANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
344 SUMMIT AVENUE, HACKENSACK, NJ 07601-1430
(201) 525-0707
(201) 525-0785
Mailing address
344 SUMMIT AVENUE, HACKENSACK, NJ 07601-1430
(201) 525-0707
(201) 525-0785
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
38MC00178000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093908
—
NJ
01
—
222330671
BLUE CROSS/ BLUE SHIELD
NJ
Enumeration date
07/24/2006
Last updated
05/02/2008
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