Miriam Kerolus Fanouse is a Warren, New Jersey based Dentist who is specialized in
Dentist. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Miriam Kerolus Fanouse is
22DI02942100 for Dentistry in New Jersey. Her current practice location is
34 Mountain Blvd, Warren. Patients can reach her at
347-307-1381.
Miriam Kerolus Fanouse is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Miriam Kerolus Fanouse speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Miriam Kerolus Fanouse |
| Specialization: | Dentist |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 34 Mountain Blvd, Warren,
New Jersey, 07059-2640 |
| Phone: | 347-307-1381 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1356761456 |
| NPI Enumeration Date: | 16 Apr, 2014 |
| NPI Last Update On: | 05 Mar, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miriam Kerolus Fanouse are as mentioned below.
| License Number | Specialization | State | Status | |
| 22DI02942100 | Dentistry | New Jersey | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 46 Bartlett Ave,
Staten Island, New York |
| Zip: | 10312-2462 |
| Phone Number: | 347-307-1381 |
Patients can reach Miriam Kerolus Fanouse at
34 Mountain Blvd, Warren, New Jersey or can
call to book an appointment on 347-307-1381.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.