Individual
JOSEPH A MAURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA03340200
NJ
207W00000X
Ophthalmology Physician
Primary
TL33174
SC
208600000X
Surgery Physician
25MA03340200
NJ
208600000X
Surgery Physician
TL33174
SC
Other
Enumeration date
10/20/2006
Last updated
11/10/2010
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