Provider Demographics
NPI:1477651388
Name:MAURIELLO, JOSEPH EUS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EUS
Last Name:MAURIELLO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6427
Mailing Address - Country:US
Mailing Address - Phone:201-224-8180
Mailing Address - Fax:201-224-3324
Practice Address - Street 1:1137 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6427
Practice Address - Country:US
Practice Address - Phone:201-224-8180
Practice Address - Fax:201-224-3324
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ198951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice