Individual
MRS. MARYANN NICASTRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 NEWARK AVE, JERSEY CITY, NJ 07306
(201) 795-9155
(201) 795-9157
Mailing address
550 NEWARK AVE, JERSEY CITY, NJ 07306
(201) 795-9155
(201) 795-9157
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA53831
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6185100
—
NJ
Enumeration date
04/25/2006
Last updated
07/08/2007
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