Organization
ROBERT G MIRSKY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G MIRSKY MD PA (OWNER)
(973) 736-1016
Entity
Organization
Contact information
Practice address
745 NORTHFIELD AVENUE, WEST ORANGE, NJ 07052-1144
(973) 736-1016
(973) 736-4869
Mailing address
745 NORTHFIELD AVENUE, WEST ORANGE, NJ 07052-1144
(973) 736-1016
(973) 736-4869
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297003
—
NJ
01
—
DG8115
RAILROAD MEDICARE
NJ
Enumeration date
11/01/2007
Last updated
03/20/2023
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