Provider Demographics
NPI:1942494356
Name:RAMIREZ, MARIANELLA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIANELLA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 MORRIS AVE
Mailing Address - Street 2:SUITE D2
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5718
Mailing Address - Country:US
Mailing Address - Phone:908-810-8887
Mailing Address - Fax:908-810-0071
Practice Address - Street 1:2333 MORRIS AVE
Practice Address - Street 2:SUITE D2
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5718
Practice Address - Country:US
Practice Address - Phone:908-810-8887
Practice Address - Fax:908-810-0071
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI198561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice