Anannab, Miriam Susan

Anannab, Miriam Susan is an individual health care provider with primary practice located at 1255 Raritan Rd , Clark NJ 07066-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Anannab, Miriam Susan can be contacted via phone (848) 206-0072.

Contact Information

Primary practice address
1255 Raritan Rd Clark NJ 07066-1200
Phone: (848) 206-0072
Fax: (848) 206-0078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MA67554 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA0675500 New Jersey

Profile Details

NPI number 1558439877
LBN Legal business name Anannab, Miriam Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jun 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558439877 NPPES
New Jersey MEDICAID 8174601

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