Individual
DR. SLOBODAN J MIRIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 W MAIN ST, SUITE 103, DENVILLE, NJ 07834-2174
(973) 625-0858
(973) 625-0859
Mailing address
35 W MAIN ST, SUITE 103, DENVILLE, NJ 07834-2174
(973) 625-0858
(973) 625-0859
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08380900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163732
—
NJ
05
—
101772589 001
—
PA
Enumeration date
07/22/2006
Last updated
10/08/2012
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