Miranda, Rosa J
Miranda, Rosa J is an individual health care provider with primary practice located at 134 Summit Avenue , Hackensack NJ 07601-1310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miranda, Rosa J can be contacted via phone (201) 525-0077.Contact Information
Primary practice address
134 Summit Avenue
Hackensack NJ 07601-1310
Phone: (201) 525-0077
Fax: (201) 525-0072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07684400 | New Jersey |
Profile Details
| NPI number | 1407826738 |
|---|---|
| LBN Legal business name | Miranda, Rosa J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 23rd, 2012 - about 12 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 | 1407826738 | NPPES |
| New Jersey | MEDICAID | 0082368 |
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