Organization
MIRIAM MAHER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MAHER MD (SOLE PROPRIETOR)
(973) 335-1065
Entity
Organization
Contact information
Practice address
130 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-1909
(973) 335-1065
(973) 335-2225
Mailing address
130 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-1909
(973) 335-1065
(973) 335-2225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06816700
NJ
208000000X
Pediatrics Physician
25MA06816700
NJ
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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