Provider Demographics
NPI:1831897651
Name:MARONEY, ENID CLAIRE (DPM)
Entity type:Individual
Prefix:DR
First Name:ENID
Middle Name:CLAIRE
Last Name:MARONEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 DORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1601
Mailing Address - Country:US
Mailing Address - Phone:732-904-9841
Mailing Address - Fax:
Practice Address - Street 1:319 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1343
Practice Address - Country:US
Practice Address - Phone:609-386-0217
Practice Address - Fax:609-386-0102
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00372600213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine