Mariyampillai, Joan Of Arc
Mariyampillai, Joan Of Arc is an individual health care provider with primary practice located at 825 Bloomfield Ave Suite Ll-1, Verona NJ 07044-1366. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mariyampillai, Joan Of Arc can be contacted via phone (973) 239-3770.Contact Information
Primary practice address
825 Bloomfield Ave Suite Ll-1
Verona NJ 07044-1366
Phone: (973) 239-3770
Fax: (973) 239-3774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA070156 | New Jersey |
Profile Details
| NPI number | 1417916727 |
|---|---|
| LBN Legal business name | Mariyampillai, Joan Of Arc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Nov 8th, 2023 - about 2 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 | 1417916727 | NPPES |
| New Jersey | MEDICAID | 8929602 |
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