Individual
DR. MARIE LOUISE MANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
91 MOUNTAIN AVE, HAWTHORNE, NJ 07506-3331
(973) 423-3534
Mailing address
91 MOUNTAIN AVE, HAWTHORNE, NJ 07506-3331
(973) 423-3534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04197906
NJ
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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