Individual
MIRIAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 GREEN POND RD, SUITE A, ROCKAWAY, NJ 07866-2013
(973) 627-6010
(973) 625-9424
Mailing address
35 GREEN POND RD, SUITE A, ROCKAWAY, NJ 07866-2013
(973) 627-6010
(973) 625-9424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06949400
NJ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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