DR. Maria Jose Vasena Marengo, #39

NPI #1417201021 in Hawthorne, New Jersey

Provider Information

NPI Number: 1417201021
Entity Type: Individual
Name: DR. Maria Jose Vasena Marengo, #39
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: #39
Enumeration Date: Nov 4, 2012
Last Updated: Aug 3, 2015

Practice Location

Address: 330 LAFAYETTE AVE
City: Hawthorne
State: New Jersey
ZIP Code: 07506-2506
Phone: (973) 841-5112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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