Organization
CORNEL MIRCEA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNEL MIRCEA M.D. (OWNER)
(973) 680-5522
Entity
Organization
Contact information
Practice address
123 HIGHLAND AVE, STE 104, GLEN RIDGE, NJ 07028-1527
(973) 680-5522
(973) 680-1180
Mailing address
123 HIGHLAND AVE STE 104, GLEN RIDGE, NJ 07028-1522
(973) 680-5522
(973) 680-1180
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA065118
NJ
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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