Organization
MIRACLE IN PROGRESS 3D AND 4D ULTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA KRIDER (OWNER)
(609) 578-7923
Entity
Organization
Contact information
Practice address
175 W COHAWKIN RD, CLARKSBORO, NJ 08020-1145
(609) 578-7923
Mailing address
56 PROVIDENCE RD, MICKLETON, NJ 08056-1266
(609) 578-7923
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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