Mariano, Domenic L
Mariano, Domenic L is an individual health care provider with primary practice located at 946 Bloomfield Ave , Glen Ridge NJ 07028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mariano, Domenic L can be contacted via phone (973) 743-1121.Contact Information
Primary practice address
946 Bloomfield Ave
Glen Ridge NJ 07028
Phone: (973) 743-1121
Fax: (973) 743-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MB05816800 | New Jersey |
Profile Details
| NPI number | 1457327975 |
|---|---|
| LBN Legal business name | Mariano, Domenic L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 24th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457327975 | NPPES |
| New Jersey | MEDICAID | 7338201 |
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