NPI 1043316698
Mary T Mancuso, DMD
Practice location
- Address
- 27-11 Pellack Dr, Fair Lawn, NJ 07410-3723
- Phone
- (201) 796-7171
- Fax
- (201) 796-0600
- Mailing address
- 167 Glenwood Dr, North Haledon, NJ 07508-3020
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1043316698
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.