Individual
PANDURANG R MISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 RTE 37 W, TOMS RIVER, NJ 08755-8007
(732) 240-4787
(732) 240-3114
Mailing address
633 RTE 37 W, TOMS RIVER, NJ 08755-8007
(732) 240-4787
(732) 240-3114
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA04195700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020602
—
NJ
01
—
501334
AETNA
NJ
Enumeration date
05/11/2006
Last updated
03/06/2024
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