| NPI | 1699213165 |
|---|---|
| Doing Business As | MIRMANESH MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHAHRAM JAY MIRMANESH Managing Partner 609-238-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09026400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA06842200) |
| 208000000X Pediatrics (Licence: NJ 25MA09469200) | |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |