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1750335360
SHAHRAM JAY MIRMANESH
MARLTON, NJ
NPI
1750335360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ 25ma05186900)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
Dr. SHAHRAM JAY MIRMANESH MD, MBA
12000 LINCOLN DR W SUITE 311
MARLTON, NJ 08053-3402
Phone number: 856-985-8100
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Mailing Address
Dr. SHAHRAM JAY MIRMANESH MD, MBA
3 WOODBROOK RD
VOORHEES, NJ 08043-2840
Phone number: 856-768-5336
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