DR. MYRTLE HERRIN MANALO


Address: 39 East Greenbrook Road, North Caldwell, NJ 07006
Phone: 9732265151

DR. MYRTLE HERRIN MANALO (NPI# 1336314509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336314509
Entity Type Individual
Full Name DR. MYRTLE HERRIN MANALO
Credential MD
Practice Address 39 East Greenbrook Road
North Caldwell
NJ 07006
Practice Telephone 9732265151
Practice Fax Number 9732265151
Mailing Telephone 9732265151
Mailing Fax Number 9732265151
Enumeration Date 2008-04-28
Last Update Date 2008-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 25MA02932800 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 39 EAST GREENBROOK ROAD
City NORTH CALDWELL
State NJ
Zip Code 07006

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1598157638 Lisa Santeramo Behavioral Analyst 309 Westville Avenue, West Caldwell, NJ 07006 2015-02-26
1871832774 Theodore K Chang Dentist 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 2013-02-12
1801132535 Booyoung Chung Pharmacist 560 Passiac Ave Cvs, West Caldwell, NJ 07006 2012-12-28
1750611802 Christopher Jones, Dds, P.a. Dentist 1129 Bloomfield Avenue, West Caldwell, NJ 07006 2010-01-12
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City NORTH CALDWELL
Zip Code 07006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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