Individual
DR. JOSUE A MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5136 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-4228
(757) 473-0003
(757) 497-9510
Mailing address
5136 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-4228
(757) 473-0003
(757) 497-9510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73-20256
—
VA
Enumeration date
06/08/2006
Last updated
03/03/2010
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