Individual
DR. DIPTI RAM MIRCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5322
Mailing address
26508 74TH AVE APT F1, GLEN OAKS, NY 11004-1167
(732) 672-9868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11913400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497041081
NPI
—
Enumeration date
06/22/2011
Last updated
02/01/2024
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