Maiatico, Marcellus A

Maiatico, Marcellus A is an sole proprietor health care provider with primary practice located at 270 South Broadway , Pennsville NJ 08070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Maiatico, Marcellus A can be contacted via phone (856) 678-5449.

Contact Information

Primary practice address
270 South Broadway Pennsville NJ 08070
Phone: (856) 678-5449
Fax: (856) 678-3153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA3497600 New Jersey

Profile Details

NPI number 1508883695
LBN Legal business name Maiatico, Marcellus A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Feb 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508883695 NPPES
New Jersey MEDICAID 1695606

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