Organization
A.C.MIRANDA M.D.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APOLINARIO MIRANDA JR. M.D. (PRESIDENT)
(609) 561-7548
Entity
Organization
Contact information
Practice address
630 BELLEVUE AVE, HAMMONTON, NJ 08037-1935
(609) 561-7548
(609) 561-7520
Mailing address
630 BELLEVUE AVE, HAMMONTON, NJ 08037-1935
(609) 561-7548
(609) 561-7520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12224000
NJ
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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