Mainero, Michael M

Mainero, Michael M is an individual health care provider with primary practice located at 205 Browertown Rd Suite 202, West Paterson NJ 07424-2671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mainero, Michael M can be contacted via phone (973) 785-0102.

Contact Information

Primary practice address
205 Browertown Rd Suite 202 West Paterson NJ 07424-2671
Fax: (973) 785-2205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X NJ55027 New Jersey

Profile Details

NPI number 1720090079
LBN Legal business name Mainero, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 15th, 2014 - about 10 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 1720090079 NPPES
New Jersey MEDICAID 5510708

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