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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.