Miranda, Justine Arnessa F
Miranda, Justine Arnessa F is an individual health care provider with primary practice located at 100 Retreat Ave Suite 903, Hartford CT 06106-2528. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Miranda, Justine Arnessa F can be contacted via phone (860) 246-2351.Contact Information
Primary practice address
100 Retreat Ave Suite 903
Hartford CT 06106-2528
Phone: (860) 246-2351
Fax: (860) 240-7063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52304 | Connecticut |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 52304 | Connecticut |
Profile Details
| NPI number | 1508064452 |
|---|---|
| LBN Legal business name | Miranda, Justine Arnessa F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Sep 26th, 2019 - about 6 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508064452 | NPPES |
| Connecticut | Other | 52304 | LICENSE |
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