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NPI Code Detail

MEDICARE: DR. MARYPAULINE LOUISE ZELANIS DMD

MEDICARE: DR. MARYPAULINE LOUISE ZELANIS DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry22DI00920800NJ

General Provider Information

NPI Number : 1437138526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYPAULINE LOUISE ZELANIS DMD
Provider Business Mailing Address
First Line : COMDT(CG-1122),U.S.COAST GUARD,2100 2ND ST SW
Second Line : SUITE 5314
City : WASHINGTON
State : DC
Zip : 20593-0001
Country : US
Telephone Number : 609-898-6960
Fax Number :
Provider Business Practice Location Address
First Line : 60 W LANDIS AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-8132
Country : US
Telephone Number : 856-692-0735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 08/25/2025

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