Individual
MICHAEL EDWARD MIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3595
(908) 522-2232
Mailing address
251 CRESCENZI CT, WEST ORANGE, NJ 07052-4137
(973) 902-9334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00763100
NJ
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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