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Provider Information for 1720259740

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

DR. MARIANNE MAURO DMD

Gender: FEMALE

Individual NPI: 1720259740

Calendar   Last Updated:  2008-03-18
  Certification Date: 

Details

Name Value
NPI 1720259740
Enumeration Date 2008-03-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 11 CLAYTON CT
EAST BRUNSWICK, NJ 08816-2902
United States

Phone: 732-718-4607 | Fax: 732-819-7669
View Map External Link
Primary Practice Address 11 CLAYTON CT
EAST BRUNSWICK, NJ 08816-2902
United States

Phone: 732-718-4607 | Fax: 732-819-7669
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NJ 5446104
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 22DI01711700
No 122300000X - Dentist NJ 22DI01711700