Maiese, Mario L
Maiese, Mario L is an individual health care provider with primary practice located at 539 Egg Harbor Rd Ste 1, Sewell NJ 08080-2371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Maiese, Mario L can be contacted via phone (856) 589-0300.Contact Information
Primary practice address
539 Egg Harbor Rd Ste 1
Sewell NJ 08080-2371
Phone: (856) 589-0300
Fax: (856) 589-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MB24565 | New Jersey |
Profile Details
| NPI number | 1528050382 |
|---|---|
| LBN Legal business name | Maiese, Mario L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | May 15th, 2013 - about 13 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 | 1528050382 | NPPES |
| New Jersey | MEDICAID | 1203703 |
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