Mauro, Marianne

Mauro, Marianne is an individual health care provider with primary practice located at 11 Clayton Ct , East Brunswick NJ 08816-2902. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mauro, Marianne can be contacted via phone (732) 718-4607.

Contact Information

Primary practice address
11 Clayton Ct East Brunswick NJ 08816-2902
Phone: (732) 718-4607
Fax: (732) 819-7669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI01711700 New Jersey
Dental Providers / General Practice 1223G0001X 22DI01711700 New Jersey

Profile Details

NPI number 1720259740
LBN Legal business name Mauro, Marianne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720259740 NPPES
New Jersey MEDICAID 5446104

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