Organization
UNITY CARE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM JAY MIRMANESH MD,MBA (MANAGING PARTNER)
(609) 238-0870
Entity
Organization
Contact information
Practice address
12000 LINCOLN DR W, SUITE 311, MARLTON, NJ 08053-3402
(856) 985-8100
(856) 985-0178
Mailing address
264 CROSS KEYS RD, BERLIN, NJ 08009-9435
(856) 767-3913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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