Individual
MIRIAM R MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-1909
(973) 335-1065
Mailing address
130 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-1909
(973) 335-1065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06816700
NJ
208000000X
Pediatrics Physician
25MA06816700
NJ
Other
Enumeration date
06/16/2005
Last updated
05/27/2010
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