Individual
DR. NOUSHIN MIRMADJLESSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 CORNWALL DR, SUITE A, EAST BRUNSWICK, NJ 08816-3311
(732) 698-1000
(732) 698-1008
Mailing address
3 CORNWALL DR, SUITE A, EAST BRUNSWICK, NJ 08816-3311
(732) 698-1000
(732) 698-1008
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA08812000
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA08812000
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MA08812000
NJ
283X00000X
Rehabilitation Hospital
—
—
Other
Enumeration date
05/12/2008
Last updated
08/27/2013
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