Organization
MIKE MIRON, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MIRON M.D. (PRESIDENT)
(201) 791-1178
Entity
Organization
Contact information
Practice address
40-04 KILADA CT, FAIR LAWN, NJ 07410-5342
(201) 791-1178
(201) 791-6226
Mailing address
40-04 KILADA CT, FAIR LAWN, NJ 07410-5342
(201) 791-1178
(201) 791-6226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04779200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026195
—
NY
01
—
1356425128
NPI FOR INDIVIDUAL PRACTITIONER MIKE MIRON,MD USED BY ALL INSURANCES
—
05
—
1974807
—
NJ
Enumeration date
02/21/2011
Last updated
02/21/2011
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