Individual
MANAHAL MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21 LAFAYETTE RD, SPARTA, NJ 07871-3575
(908) 472-2056
Mailing address
18 GURLEY RD, EDISON, NJ 08817-4505
(908) 472-2056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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