Organization
J&M MARIYAMPILLAI L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCARIOUS A MARIYAMPILLAI M.D. (PARTNER)
(973) 239-3770
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8929700
—
NJ
Enumeration date
12/06/2006
Last updated
07/25/2008
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