Mariyampillai, Marcarious A

Mariyampillai, Marcarious A is an individual health care provider with primary practice located at 825 Bloomfield Ave Suite Ll-1, Verona NJ 07044-1366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mariyampillai, Marcarious A can be contacted via phone (973) 239-3770.

Contact Information

Primary practice address
825 Bloomfield Ave Suite Ll-1 Verona NJ 07044-1366
Fax: (973) 239-3774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06542600 New Jersey

Profile Details

NPI number 1790770279
LBN Legal business name Mariyampillai, Marcarious A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jun 23rd, 2008 - about 17 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 1790770279 NPPES
New Jersey MEDICAID 7326904

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