Organization
1137 FORT LEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MAURIELLO D.D.S. (DENTIST)
(201) 224-8180
Entity
Organization
Contact information
Practice address
1625 ANDERSON AVE, FORT LEE, NJ 07024-2748
(201) 944-1260
Mailing address
1625 ANDERSON AVE, FORT LEE, NJ 07024-2748
(201) 944-1260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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