Organization
DENISE M. MIRANDO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH M WHITE (OFFICE MANAGER)
(440) 998-3376
Entity
Organization
Contact information
Practice address
2422 LAKE AVE, 3RD FLOOR, ASHTABULA, OH 44004-4985
(440) 997-4733
(440) 997-5751
Mailing address
2422 LAKE AVE, 3RD FLOOR, ASHTABULA, OH 44004-4985
(440) 997-4733
(440) 997-5751
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35064555
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030528
—
OH
Enumeration date
03/13/2008
Last updated
03/13/2008
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