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Individual

NEENA MIRANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-5715
(973) 972-5724
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA03063000
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA03063000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6542301
NJ
Enumeration date
07/22/2006
Last updated
08/13/2009
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