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Provider Information for 1215035134



ANDREW MARON DDS

Gender: MALE

Individual NPI: 1215035134

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1215035134
Enumeration Date 2006-09-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 459 CHESTNUT ST
UNION, NJ 07083-9313
United States

Phone: 908-686-5868 | Fax: 908-686-2331
View Map External Link
Primary Practice Address 459 CHESTNUT ST
UNION, NJ 07083-9313
United States

Phone: 908-686-5868 | Fax: 908-686-2331
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0106X - Dentist Oral and Maxillofacial Pathology NJ
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location