Individual
MICHAEL D MISBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
(856) 968-8239
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 342-2425
(856) 968-8239
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA67508
NJ
207L00000X
Anesthesiology Physician
MD056734L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA06750800
STATE LICENSE
NJ
Enumeration date
10/24/2006
Last updated
11/20/2018
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