Individual
MARYANN BIANCIELLA-THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
97 WEST PARKWAY, CHILTON MEMORIAL HOSPITAL, POMPTON PLAINS, NJ 07444
(973) 831-5000
(201) 444-3604
Mailing address
PO BOX 8500-2721, CHILTON EMERGENCY PHYSICIANS LLC, PHILADELPHIA, PA 19178-2721
(800) 777-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB07148300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8820601
—
NJ
Enumeration date
05/01/2006
Last updated
07/08/2007
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