Individual
DR. MIRA GAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
740 MARNE HWY STE 206, MOORESTOWN, NJ 08057-3126
(856) 778-4009
Mailing address
8 BRUCE CT, MILLTOWN, NJ 08850-1302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11536300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2019
Last updated
08/09/2022
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