Individual
DR. ROBERT G. MIRSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 NORTHFIELD AVENUE, WEST ORANGE, NJ 07052-1144
(973) 736-1016
(973) 736-4869
Mailing address
745 NORTHFIELD AVENUE, WEST ORANGE, NJ 07052-1144
(973) 736-1016
(973) 736-4869
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA03604700
NJ
207W00000X
Ophthalmology Physician
MA36047
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297003
—
NJ
01
—
441181949
RAILROAD MEDICARE
NJ
Enumeration date
09/20/2006
Last updated
03/09/2023
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