Individual
APOLINARIO MIRANDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 BELLEVUE AVE, HAMMONTON, NJ 08037-1935
(609) 561-7548
(609) 561-7520
Mailing address
630 BELLEVUE AVE, HAMMONTON, NJ 08037-1935
(609) 561-7548
(609) 561-7520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA02224000
NJ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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