Mary A. Ravelo M.D.

NPI 1497809339 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1497809339
Gender Female
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
211 PENNINGTON AVE
PASSAIC NJ, 07055-4617, US
Phone (973) 470-3000
Fax
Business Location
211 PENNINGTON AVE
PASSAIC NJ, 07055-4617, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State New Jersey
License Number MA068751
Remove 1497809339 NPI Number
 

According to our database, Dr. Mary A. Ravelo M.D. NPI is 1497809339, taxonomy code is 2084P0800X and license number is MA068751, license state is located at New Jersey. Mary A. Ravelo M.D. physically located at 211 Pennington Ave, Passaic NJ, 07055-4617. NPI Number Mary A. Ravelo M.D. has the Individual type.

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1497809339 NPI number is provided on an as is basis without warranty of any kind. 1497809339 is maintained by the National Plan & Provider Enumeration System. The contents of Mary A. Ravelo M.D. are for informational purposes only.