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General NPI Number Information
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NPI Number | 1639112097
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Entity Type | Individual
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Provider Name | MATTHEW J MARANO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE STE 209
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-0100
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Fax | 973-322-0102
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Provider Business Mailing Address
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Address Line | PO BOX 7198
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City | BEDMINSTER
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State | NJ
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Zip | 07921-7198
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Country | US
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Telephone | 973-226-4474
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Fax | 973-467-4225
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA40544
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA04054400
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License Number State | NJ
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