# DR. MERRILL JAY MIRMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760478697
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | RP024664L | PA | — |
| 208VP0000X | Pain Medicine Physician | OS002340L | PA | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 01/22/2021