Individual
DR. ISMET A MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 SANIBEL CT, MONROE, NJ 08831-5816
(609) 619-3091
Mailing address
5 SANIBEL CT, MONROE, NJ 08831-5816
(609) 619-3091
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA08415600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2007
Last updated
07/14/2023
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