Individual
SHELLY MANIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-4990
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-4990
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
25MB12702000
NJ
2084N0400X
Neurology Physician
25MB12702000
NJ
Other
Enumeration date
03/23/2020
Last updated
10/17/2025
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