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Contact Information

PATRICIA E MANFREDONIA, MD
3 ATHENS AVE
SOUTH AMBOY, NJ08879-2401
 Phone: 732-952-8400
 Fax: 732-952-8402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PATRICIA E MANFREDONIA · (Female)

NPI Number 1639154180
Status Active
Credentials MD
Entity Individual
Enumeration date 12/07/2005
Last updated 07/27/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA077165
  • NJ Medicaid 0040606
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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