Individual
DR. GINA SUZANNE MANIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-3380
(732) 389-5395
Mailing address
9 SAM DR, TINTON FALLS, NJ 07724-4436
(732) 389-5604
(732) 389-5395
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB067232
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7585101
—
NJ
Enumeration date
08/01/2006
Last updated
08/17/2022
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