Individual
MATILDA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 UNION AVE, BRIDGEWATER, NJ 08807-3063
(908) 722-2900
(908) 722-1856
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07737000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062235
—
NJ
01
—
25MA07737000
NJ MEDICAL LICENSE
NJ
01
—
D08538800
CONTROLLED DANGERAOUS SUB
NJ
Enumeration date
06/06/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us