Individual
DR. JOHN C. MIRMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12000 LINCOLN DR W STE 311, MARLTON, NJ 08053-3405
(856) 985-8100
(856) 985-0178
Mailing address
12000 LINCOLN DR W STE 311, MARLTON, NJ 08053-3405
(856) 985-8100
(856) 985-0178
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P24028
MD
Other
Enumeration date
06/14/2009
Last updated
12/29/2011
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