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Individual

MIRIAM A. STRAUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
207 1ST ST APT 206, LAKEWOOD, NJ 08701-3368
(732) 905-6997
Mailing address
207 1ST ST APT 206, LAKEWOOD, NJ 08701-3368
(732) 905-6997

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1943609
NY

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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