Priscilla Maranon, ANP | |
216 Palmer St, Elizabeth, NJ 07202-5900 | |
(908) 352-2656 | |
Not Available |
Full Name | Priscilla Maranon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 216 Palmer St, Elizabeth, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013616390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01466500 (New Jersey) | Primary |
Entity Name | Central Jersey Medical Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932974250 PECOS PAC ID: 1456301241 Enrollment ID: O20050712000392 |
Mailing Address | Practice Location Address |
---|---|
Priscilla Maranon, ANP 1011 Louisa St, Elizabeth, NJ 07201-1661 Ph: (908) 937-2292 | Priscilla Maranon, ANP 216 Palmer St, Elizabeth, NJ 07202-5900 Ph: (908) 352-2656 |
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