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NPI Code Detail

MEDICARE: MARILYN ANDERSEN MAHER PT

MEDICARE: MARILYN ANDERSEN MAHER PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA00271200NJ

General Provider Information

NPI Number : 1417157256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN ANDERSEN MAHER PT
Provider Business Mailing Address
First Line : 44 EVELYN RD
Second Line :
City : ROSELAND
State : NJ
Zip : 07068-1417
Country : US
Telephone Number : 973-228-6330
Fax Number :
Provider Business Practice Location Address
First Line : 398 POMPTON AVE
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-1813
Country : US
Telephone Number : 973-239-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2007
Last Update Date : 07/19/2007

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Directions to “ MARILYN ANDERSEN MAHER PT” Practice Location

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