Individual
NADINE MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 OSLER DR STE 406, TOWSON, MD 21204-7703
(410) 802-1902
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17035
MD
207Y00000X
Otolaryngology Physician
17035
MD
Other
Enumeration date
02/10/2022
Last updated
02/28/2024
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