Individual
DR. MIREILLE BLANCHETTE DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1156 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2906
(908) 793-8454
(908) 325-0040
Mailing address
1156 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2906
(908) 793-8454
(908) 325-0040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00322700
NJ
Other
Enumeration date
09/23/2012
Last updated
12/31/2021
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