Individual
ENRICO MIGUELINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 598-1500
Mailing address
PO BOX 48078, NEWARK, NJ 07101-4878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA02280100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052008
—
NJ
Enumeration date
03/28/2006
Last updated
02/22/2008
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