Individual
DR. ROSA J MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
134 SUMMIT AVENUE, HACKENSACK, NJ 07601-1310
(201) 525-0077
(201) 525-0072
Mailing address
582 PENN AVE, TEANECK, NJ 07666-1609
(201) 525-0077
(201) 525-0072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07684400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082368
—
NJ
Enumeration date
01/26/2006
Last updated
03/23/2012
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