Individual
DR. MICHAEL ANTHONY MIRANDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 FOUNDERS PLZ, #300 C/O IPMS, EAST HARTFORD, CT 06108-3212
(860) 282-4137
(860) 282-0170
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(860) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
037329
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001373290
—
CT
Enumeration date
09/30/2005
Last updated
04/17/2021
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