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Individual

MARCELLO SAMMARONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1130 US HIGHWAY 46 STE 1, PARSIPPANY, NJ 07054-2148
(973) 917-3172
(973) 917-3174
Mailing address
1130 US HIGHWAY 46 STE 1, PARSIPPANY, NJ 07054-2148
(973) 917-3172
(973) 917-3174

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA05745200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MA05745200
NJ
208VP0000X
Pain Medicine Physician
MA05745200
NJ
208VP0014X
Interventional Pain Medicine Physician
MA05745200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7918909
NJ
Enumeration date
12/13/2006
Last updated
05/05/2021
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