Organization
DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK DASILVA (CHIEF FINANCIAL OFFICER)
(973) 253-5210
Entity
Organization
Contact information
Practice address
155 HAZEL ST, CLIFTON, NJ 07011-3423
(973) 253-5210
(973) 772-8243
Mailing address
155 HAZEL ST, CLIFTON, NJ 07011-3423
(973) 253-5210
(973) 772-8243
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7063202
—
NJ
Enumeration date
10/24/2006
Last updated
09/11/2025
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