| Doctor Name: | DR. MARY GERMAIN |
| NPI Number: | 1184081077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD,ANP-BC,FNAP |
| License Number: | 26NN03172300 |
| Business Practice Address: | 15 Washington St Rocky Hill, NJ - 085531029 |
| Business Phone Number: | 6094301945 |
| Business Fax Number: | |
| Mailing Address: | 450 Clarkson Ave, Box 22 BROOKLYN |
| State: | NY |
| Postal Code: | 112032012 |
| Phone Number: | 7182707607 |
| Fax Number: | 7182707628 |
| NPI Enumeration Date: | 01/22/2016 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN03172300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |