Individual
DR. MARYSE MANASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
275 BROAD ST, BLOOMFIELD, NJ 07003-2724
(973) 743-4743
(973) 743-4780
Mailing address
275 BROAD ST, BLOOMFIELD, NJ 07003-2724
(973) 743-4743
(973) 743-4780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02318200
NJ
1223P0700X
Prosthodontics
Primary
22DI02318200
NJ
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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