Individual
DR. AMANDA MIRMANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2950 COLLEGE DR STE 2D, VINELAND, NJ 08360-6933
(856) 641-6313
(856) 497-5350
Mailing address
1120 DELSEA DR N, GLASSBORO, NJ 08028-1444
(856) 507-2783
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB11854600
NJ
Other
Enumeration date
05/03/2019
Last updated
08/17/2023
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