Provider Demographics
NPI:1932510716
Name:MARIAM MANIYA ASSOCIATES PC
Entity Type:Organization
Organization Name:MARIAM MANIYA ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-581-9100
Mailing Address - Street 1:941 WHITE HORSE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1407
Mailing Address - Country:US
Mailing Address - Phone:609-581-9100
Mailing Address - Fax:609-581-7588
Practice Address - Street 1:941 WHITE HORSE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1407
Practice Address - Country:US
Practice Address - Phone:609-581-9100
Practice Address - Fax:609-581-7588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA63092207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty