J&m Mariyampillai L L C | |
825 Bloomfield Ave Suite Ll-1 Verona NJ 07044-1366 | |
(973) 239-3770 | |
(973) 239-3774 |
Full Name | J&m Mariyampillai L L C |
---|---|
Speciality | Internal Medicine |
Location | 825 Bloomfield Ave, Verona, New Jersey |
Authorized Official Name and Position | Marcarious A Mariyampillai (PARTNER) |
Authorized Official Contact | 9732393770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J&m Mariyampillai L L C 825 Bloomfield Ave Suite Ll-1 Verona NJ 07044-1366 Ph: (973) 239-3770 | J&m Mariyampillai L L C 825 Bloomfield Ave Suite Ll-1 Verona NJ 07044-1366 Ph: (973) 239-3770 |
NPI Number | 1891854030 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 07/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891854030 | NPI | - | NPPES |
8929700 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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