Individual
MIRIAM HABIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 BERGEN ST FL 6, NEWARK, NJ 07103
(973) 972-2020
Mailing address
30 BERGEN STREET, BUILDING 12 ROOM 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-0743
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
25MA10153200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0637688
—
NJ
05
—
09733049
—
MS
05
—
2425196
—
LA
Enumeration date
04/20/2012
Last updated
09/07/2018
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