Individual provider · Type 1 NPI

Allan Mariano

Surgical Physician Assistant · Middletown, NJ

NPI number 1043401953 Active

Practice location

480 Red Hill Rd
Middletown, NJ 07748

Call (848) 225-6000 Map

Mailing address

480 Red Hill Rd # G106A
Middletown, NJ 07748-3052

Other practice locations

  • 1275 York Ave, Sdh - M2, New York, NY 10065-6007 · (212) 639-5770

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X010567 (NY)
Medical Physician Assistant 363AM0700XMA052104 (PA)
Surgical Physician Assistant 363AS0400X010567 (NY)
Surgical Physician Assistant Primary 363AS0400X25MA09969200 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1043401953

Allan Mariano's National Provider Identifier is 1043401953, issued on Aug 6, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NJ. The record was last updated on Aug 7, 2018.