Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRIAM KEROLUS FANOUSE
ActiveMIRIAM KEROLUS FANOUSE is a Dentist healthcare provider located in WARREN, New Jersey. NPI 1356761456 is currently active in the NPPES registry. Verify at CMS.
Dentist · WARREN, NJ
Registration Details
- NPI Number
- 1356761456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2014 (12.318692828068 yrs)
- Last Updated
- Mar 5, 2025
- License
-
22DI02942100 (NJ)
Practice Information
- Address
-
34 MOUNTAIN BLVDWARREN, NJ, 070592640Browse NJ providers · Browse ZIP 07059
- Phone
- 3473071381
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in WARREN, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. SUSANNA KAYSERMAN | DDS | 1992815260 |
| DR. TITUS GEORGE | D.D.S. | 1326192378 |
| DR. STEVEN CHARLES SCHWARTZ | DDS | 1356462204 |
| DR. PETER JOSEPH DESCHENES JR. | D.D.S. | 1215151907 |
| DR. KEVIN JOHN MASSARELLI | D.M.D. | 1891984365 |
| DR. WENDY RENEE SANGER | D.M.D. | 1063683878 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.