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Mario Parker

NPI 1730788795 · on the registry since 2020 · sole proprietor

Practice

Address
571 Park St
Montclair, NJ 07043
Phone
(973) 495-4322
Fax
(888) 912-7480

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey