Organization
MIRMANESH MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MIRMANESH MD (MEDICAL DIRECTOR)
(609) 980-5672
Entity
Organization
Contact information
Practice address
100 ROUTE 73, VOORHEES, NJ 08043-9575
(609) 753-7374
Mailing address
100 ROUTE 73, VOORHEES, NJ 08043-9575
(856) 753-7374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
03/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up