Provider Demographics
NPI:1013139005
Name:ALDERMAN-MAURO, CATHERINE M (DMD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:ALDERMAN-MAURO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 DARBY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1475
Mailing Address - Country:US
Mailing Address - Phone:610-644-6858
Mailing Address - Fax:610-644-7868
Practice Address - Street 1:45 DARBY RD
Practice Address - Street 2:SUITE C
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1475
Practice Address - Country:US
Practice Address - Phone:610-644-6858
Practice Address - Fax:610-644-7868
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030160L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice