person
Mariah Jazze Fontanez-lutsky, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1245934736

Mariah Jazze Fontanez-lutsky is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Mariah Jazze Fontanez-lutsky practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Mariah Jazze Fontanez-lutsky is 1245934736 and holds a License No. (New Jersey).

The current practice location address for Mariah Jazze Fontanez-lutsky is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-4882.

Location: 201 Lyons Ave, Newark, NJ, 07112-2027
person
Provider Profile Details
NPI Number
1245934736
Provider Name
Mariah Jazze Fontanez-lutsky
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ, 07112-2027
Phone Number
973-926-4882
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
State
Zip
07112-2027
Phone Number
973-926-4882
Fax Number
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
State
Zip
07112-2027
Phone Number
973-926-4882
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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