Individual
PROF. MARIANNE ANTONIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-2513
Mailing address
15 FOX RUN RD, SPARTA, NJ 07871-1785
(973) 729-8765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR06178800
NJ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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