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Marybeth Medina

NPI 1528788387 · on the registry since 2022 · sole proprietor

Practice

Address
667 Prospect Ave
Fairview, NJ 07022
Phone
(201) 238-8844

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-31

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