Provider Demographics
NPI:1043413396
Name:LIMONE, MARY S (NP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:S
Last Name:LIMONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:261 JAMES ST STE 2A
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6348
Practice Address - Country:US
Practice Address - Phone:973-539-2468
Practice Address - Fax:973-539-7699
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00051200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ0051200OtherLICENSE
NJP00162900OtherCDS
NJP00162900OtherCDS