Individual
DR. JUSTINE ARNESSA F MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 RETREAT AVE, SUITE 903, HARTFORD, CT 06106-2528
(860) 246-2351
(860) 240-7063
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52304
CT
207RI0200X
Infectious Disease Physician
Primary
52304
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52304
LICENSE
CT
Enumeration date
07/03/2007
Last updated
09/26/2019
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