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Organization

CENTER FOR ADULT MEDICINE OF SNJ PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHIN MICHAEL MIRMANESH M.D. (PHYSICIAN)
(856) 985-0203
Entity
Organization

Contact information

Practice address
12000 LINCOLN DR WEST, 405, PAVILIONS @ GREENTREE, MARLTON, NJ 08053
(856) 985-0203
(856) 985-0010
Mailing address
P.O. BOX 3714, CHERRY HILL, NJ 08034
(856) 985-0203
(856) 985-0010

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06992000
NJ

Other

Enumeration date
10/07/2008
Last updated
02/16/2016
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