Individual
DR. MARIANNE MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11 CLAYTON CT, EAST BRUNSWICK, NJ 08816-2902
(732) 718-4607
(732) 819-7669
Mailing address
11 CLAYTON CT, EAST BRUNSWICK, NJ 08816-2902
(732) 718-4607
(732) 819-7669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI01711700
NJ
1223G0001X
General Practice Dentistry
Primary
22DI01711700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5446104
—
NJ
Enumeration date
03/18/2008
Last updated
03/18/2008
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