Individual
MIYA M FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 E CHERRY ST, RAHWAY, NJ 07065-4012
(908) 494-5630
Mailing address
PO BOX 861, RAHWAY, NJ 07065-0861
(908) 494-5630
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
32WG05920400
NJ
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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