NPI 1295407054
Mary Roxan Maestro, IDHS
Practice location
- Address
- 20 Crispin Rd, Highlands, NJ 07732-4008
- Phone
- (732) 872-3444
- Mailing address
- 35 Appleby Ave, Staten Island, NY 10305-3509
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1295407054
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Sep 2021
- Record last updated
- 30 Sep 2021
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.