DR. Mario Mico, M.D.

NPI #1730221714 in Passaic, New Jersey

Provider Information

NPI Number: 1730221714
Entity Type: Individual
Name: DR. Mario Mico, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Feb 13, 2007
Last Updated: Feb 5, 2008

Practice Location

Address: 913 MAIN AVE
City: Passaic
State: New Jersey
ZIP Code: 07055-8540
Phone: (973) 458-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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