Individual
ANTHONY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 RESNIK RD, PLYMOUTH, MA 02360-5721
(781) 934-2400
(508) 746-3930
Mailing address
41 RESNIK RD, PLYMOUTH, MA 02360-5721
(508) 746-3930
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA102473
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/28/2024
Last updated
04/13/2026
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