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Contact Information

MARIANNA KISELEV, MD
300 2ND AVE
LONG BRANCH, NJ07740-6303
 Phone: 732-923-6900
 Fax: 732-923-6914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARIANNA KISELEV · (Female)

NPI Number 1366510927
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 10/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA7088000
  • NJ Medicaid 8315108
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
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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