Mancuso, Mary T
Mancuso, Mary T is an sole proprietor health care provider with primary practice located at 27-11 Pellack Dr , Fair Lawn NJ 07410-3723. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mancuso, Mary T can be contacted via phone (201) 796-7171.Contact Information
Primary practice address
27-11 Pellack Dr
Fair Lawn NJ 07410-3723
Phone: (201) 796-7171
Fax: (201) 796-0600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17835 | New Jersey |
Profile Details
| NPI number | 1043316698 |
|---|---|
| LBN Legal business name | Mancuso, Mary T |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
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