Organization
VOORHEES MEDICAL HOME
Active
Other names
Mirmanesh Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM JAY MIRMANESH MD (MANAGING PARTNER)
(609) 238-0870
Entity
Organization
Contact information
Practice address
100 ROUTE 73, VOORHEES, NJ 08043-9575
(856) 753-7374
(856) 753-1137
Mailing address
100 ROUTE 73, VOORHEES, NJ 08043-9575
(856) 753-7374
(856) 753-1137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA06842200
NJ
208000000X
Pediatrics Physician
Primary
25MA09026400
NJ
208000000X
Pediatrics Physician
25MA09469200
NJ
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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