Individual
KNAR H MESROBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
340C RAMAPO VALLEY RD, OAKLAND, NJ 07436-2711
(739) 962-6200
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10219400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206994B
—
GA
01
—
80702
GEORGIA MEDICAL LICENSE
GA
Enumeration date
03/25/2015
Last updated
10/06/2023
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