Individual
JAN G MRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 WASHINGTON AVE STE 17, DUMONT, NJ 07628-2936
(201) 387-2003
Mailing address
175 WASHINGTON AVE STE 17, DUMONT, NJ 07628-2936
(201) 387-2003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38140
AL
207R00000X
Internal Medicine Physician
62098
WI
207R00000X
Internal Medicine Physician
Primary
MA06631600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7422903
—
NJ
Enumeration date
03/15/2007
Last updated
11/24/2021
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