Maryam Manouchehri, DMD is a
Dentist - General Practice based in Pine Hill, New Jersey. Maryam Manouchehri is licensed to practice in New Jersey (license number 20691) and her current practice location is
1130 Blackwood Clementon Rd, Pine Hill, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 627-2400.
NPI number for Maryam Manouchehri is 1235216342 and her current mailing address is 1130 Blackwood Clementon Rd, Pine Hill, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235216342.
Healthcare Provider's Profile
Full Name | Maryam Manouchehri |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 1130 Blackwood Clementon Rd, Pine Hill, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235216342
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 06/14/2010
Medical Identifiers
Medical identifiers for Maryam Manouchehri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235216342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 20691 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryam Manouchehri is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maryam Manouchehri, DMD 1130 Blackwood Clementon Rd, Pine Hill, NJ 08021-6965 Ph: (856) 627-2400 | Maryam Manouchehri, DMD 1130 Blackwood Clementon Rd, Pine Hill, NJ 08021-6965 Ph: (856) 627-2400 |
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