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1730221714
MARIO MICO
PASSAIC, NJ
NPI
1730221714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ 25MA08315100)
Enumeration Date
2007-02-13
Last Update Date
2008-02-05
Business Address
DR. MARIO MICO M.D.
913 MAIN AVE
PASSAIC, NJ 07055-8540
Phone number: 973-458-8000
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Mailing Address
DR. MARIO MICO M.D.
913 MAIN AVENUE
PASSAIC, NJ 07055
Phone number: 973-458-8000
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