Individual
MIRYAM QUINN DOBLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
564 BROADWAY, BAYONNE, NJ 07002
(201) 468-8888
(201) 455-3083
Mailing address
564 BROADWAY, BAYONNE, NJ 07002-8828
(201) 468-8888
(201) 455-3083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00485600
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00485600
NJ
Other
Enumeration date
08/28/2018
Last updated
03/25/2021
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