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Individual

GREGORY J MARONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1108 W US ROUTE 66, MORIARTY, NM 87035-1006
(505) 832-4434
(505) 832-5024
Mailing address
12127B HWY 14N SUITE 5, CEDAR CREST, NM 87008-9499
(505) 281-5180
(505) 281-5320

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2003-0005
NM

Other

Enumeration date
05/31/2006
Last updated
04/05/2018
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