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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780767087 | NPPES |
| New Jersey | MEDICAID | 46325385B |
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