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John Manicone
Specialist in Millburn, New Jersey
NPI 1518967249

John Manicone is a Specialist based in Millburn, NJ. John Manicone practices in Millburn, NJ. The NPI Number for John Manicone is 1518967249 and holds a License No. 25MA05569400 (New Jersey).

The current practice location address for John Manicone is 225 Millburn Ave, Millburn, NJ and can be reached out via phone at 973-379-5888 and via fax at 973-912-9757.

Location: 225 Millburn Ave, Millburn, NJ, 07041-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518967249
Provider Name
John Manicone
Credential
Provider Entity Type
Individual
Gender
Male
Address
225 Millburn Ave, Millburn, NJ, 07041-1737
Phone Number
973-379-5888
Fax Number
973-912-9757
Provider Enumeration Date
07/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0K3218 01 NJ HEALTHNET #
5710066 01 NJ GHI PPO #
1059497 01 NJ HORIZON NJ HEALTH #
6893201 05 NJ
0526328000 01 NJ AMERIHEALTH #
575898 01 NJ AETNA HMO #
5093166 01 NJ AETNA PPO #
84168 01 NJ AMERIGROUP #
institution
Provider Business Practice Location Address Details
Address
225 Millburn Ave
City
Millburn
State
New Jersey
Zip
07041-1737
Phone Number
973-379-5888
Fax Number
973-912-9757
person
Provider Business Mailing Address Details
Address
225 Millburn Ave
City
Millburn
State
New Jersey
Zip
07041-1737
Phone Number
973-379-5888
Fax Number
973-912-9757
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA05569400 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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