Individual
DR. MERRILL JAY MIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14 BONNIE LN, MEDIA, PA 19063-5606
(610) 361-7878
Mailing address
14 BONNIE LN, MEDIA, PA 19063-5606
(610) 361-7878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP024664L
PA
208VP0000X
Pain Medicine Physician
Primary
OS002340L
PA
Other
Enumeration date
09/26/2005
Last updated
01/22/2021
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