Individual
MIRNA AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6930
(973) 429-6209
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 666-3900
(201) 261-0505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP0026900
NJ
Other
Enumeration date
10/14/2009
Last updated
04/21/2017
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