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Provider Information for 1215035134

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANDREW MARON DDS

Gender: MALE

Individual NPI: 1215035134

Calendar   Last Updated:  2007-07-08
  Certification Date: 

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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0106X - Dentist Oral and Maxillofacial Pathology NJ