Provider Demographics
NPI:1235577206
Name:MAURO, MELISSA GEORGETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:GEORGETTE
Last Name:MAURO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14 PATRIOT HILL DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-4214
Mailing Address - Country:US
Mailing Address - Phone:973-945-0790
Mailing Address - Fax:610-643-4523
Practice Address - Street 1:233 MOUNT AIRY RD STE 100
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2338
Practice Address - Country:US
Practice Address - Phone:973-945-0790
Practice Address - Fax:610-643-4523
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2024-03-08
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Provider Licenses
StateLicense IDTaxonomies
MN63453207R00000X
NJ25MA09857800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine