Provider Demographics
NPI:1144970948
Name:VERLUS, JEAN MAGLOIRE III (MD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:MAGLOIRE
Last Name:VERLUS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:145 WYCKOFF RD STE 301
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1887
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 WYCKOFF RD STE 301
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1887
Practice Address - Country:US
Practice Address - Phone:848-208-5250
Practice Address - Fax:609-991-6226
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA12433400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty