Individual
THOMAS R MIRSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ, SUITE 215 (NEUROLOGY), CAMDEN, NJ 08103-1438
(856) 342-2445
(856) 964-0504
Mailing address
3 COOPER PLZ, SUITE 320, CAMDEN, NJ 08103-1438
(856) 342-2445
(856) 964-0504
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA54529
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010003879
AMERICHOICE
—
01
—
0388541000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
0518267
AETNA
—
05
—
0651800
—
NJ
01
—
1024720
HORIZON NJ HEALTH
—
01
—
110084266
RR MEDICARE
—
01
—
1243169
UNITED HEALTHCARE
—
01
—
13517
UNIVERSITY HEALTH PLAN
—
01
—
3K6143
HEALTHNET
—
01
—
567399
AMERIHEALTH PPO
—
01
—
7808502
CIGNA
—
01
—
P440700
OXFORD
—
Enumeration date
10/24/2006
Last updated
04/25/2016
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