Individual
DR. RAYMOND MIRASOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 PATERSON ST STE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7757
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
(843) 459-4120
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA10907600
NJ
Other
Enumeration date
05/05/2015
Last updated
05/02/2024
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