MEDICARE: DR. MARIA A. KATALAN D.D.S.

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
1	122300000X	Dentist	22DI02637500	NJ

General Provider Information

NPI Number	:	1851772198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA A. KATALAN D.D.S.

Provider Business Mailing Address
First Line	:	625 RARITAN RD
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-2245
Country	:	US
Telephone Number	:	732-382-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 RARITAN RD
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-2245
Country	:	US
Telephone Number	:	732-382-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	01/24/2026

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