Individual
MIRIAM JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 BELLEVILLE AVE STE 202, BLOOMFIELD, NJ 07003-3589
(973) 748-9500
Mailing address
150 INDIAN RUN PKWY, UNION, NJ 07083-8812
(973) 517-9593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00917400
NJ
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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