Miray Medical Corp

LBN: Miray Medical Corp
Miray Medical Corp is an health care organization with primary practice located at 348 N Pearl St , Brockton MA 02301-1197. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Miray Medical Corp can be contacted via phone (508) 586-8012, or through Samaan, Renolt via phone (508) 586-8012.

Contact Information

Primary practice address
348 N Pearl St Brockton MA 02301-1197
Phone: (508) 586-8012
Fax: (508) 583-2779
Website:
Map and Directions
Authorized official contact:
Name: Samaan, Renolt Doctor of Medicine (MD)
Phone: (508) 586-8012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 71989 Massachusetts

Profile Details

NPI number 1396940573
LBN Legal business name Miray Medical Corp
DBA Doing business as
Authorized official Samaan, Renolt Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396940573 NPPES
Massachusetts MEDICAID 9768033

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