Mirmanesh, Shahram Jay
Mirmanesh, Shahram Jay is an individual health care provider with primary practice located at 12000 Lincoln Dr W Suite 311, Marlton NJ 08053-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mirmanesh, Shahram Jay can be contacted via phone (856) 985-8100.Contact Information
Primary practice address
12000 Lincoln Dr W Suite 311
Marlton NJ 08053-3402
Phone: (856) 985-8100
Fax: (856) 985-8374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA05186900 | New Jersey |
Profile Details
| NPI number | 1750335360 |
|---|---|
| LBN Legal business name | Mirmanesh, Shahram Jay |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
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