| Maryann Alessio Do Pa | |
|
349 Passaic Ave Nutley NJ 07110-2738 | |
| (973) 667-8889 | |
| (973) 667-5665 |
| Full Name | Maryann Alessio Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 349 Passaic Ave, Nutley, New Jersey |
| Authorized Official Name and Position | Maryann Alessio (OWNER) |
| Authorized Official Contact | 9736678889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryann Alessio Do Pa 349 Passaic Ave Nutley NJ 07110-2738 Ph: (973) 667-8889 | Maryann Alessio Do Pa 349 Passaic Ave Nutley NJ 07110-2738 Ph: (973) 667-8889 |
| NPI Number | 1396059507 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 05/06/2014 |
| Medicare PECOS PAC ID | 9032242342 |
|---|---|
| Medicare Enrollment ID | O20100805001024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396059507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB63953 (New Jersey) | Primary |
| Provider Name | Maryann Alessio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750499257 PECOS PAC ID: 2769478577 Enrollment ID: I20040426000192 |
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