Warden, Mary Jane

Warden, Mary Jane is an individual health care provider with primary practice located at 20 Prospect Ave , Hackensack NJ 07601-1997. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Warden, Mary Jane can be contacted via phone (201) 336-8777.

Contact Information

Primary practice address
20 Prospect Ave Hackensack NJ 07601-1997
Phone: (201) 336-8777
Fax: (201) 996-3279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA03654000 New Jersey

Profile Details

NPI number 1780767087
LBN Legal business name Warden, Mary Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jun 13th, 2012 - about 12 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 1780767087 NPPES
New Jersey MEDICAID 46325385B

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