Individual
JEANNINE MIRANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-6526
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-4740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
262399
MA
207VG0400X
Gynecology Physician
D0073817
MD
207VG0400X
Gynecology Physician
MD040317
DC
Other
Enumeration date
06/24/2008
Last updated
08/06/2015
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