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Individual

DR. MARCARIOUS A MARIYAMPILLAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 BLOOMFIELD AVE, SUITE LL-1, VERONA, NJ 07044-1366
(973) 239-3770
(973) 239-3774
Mailing address
825 BLOOMFIELD AVE, SUITE LL-1, VERONA, NJ 07044-1366
(973) 239-3770
(973) 239-3774

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06542600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7326904
NJ
Enumeration date
09/12/2005
Last updated
06/23/2008
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