Individual
THOMAS R MIRSEN
Active
Individual
THOMAS R MIRSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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