Mirsen, Thomas R

Mirsen, Thomas R is an individual health care provider with primary practice located at 3 Cooper Plz Suite 215 (Neurology), Camden NJ 08103-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mirsen, Thomas R can be contacted via phone (856) 342-2445.

Contact Information

Primary practice address
3 Cooper Plz Suite 215 (Neurology) Camden NJ 08103-1438
Fax: (856) 964-0504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MA54529 New Jersey

Profile Details

NPI number 1902980352
LBN Legal business name Mirsen, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 25th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902980352 NPPES
Other 010003879 AMERICHOICE
Other P440700 AMERICHOICE
Other 7808502 AMERICHOICE
Other 3K6143 AMERICHOICE
Other 1024720 AMERICHOICE
Other 1243169 AMERICHOICE
Other 567399 AMERICHOICE
Other 0388541000 AMERICHOICE
Other 0518267 AMERICHOICE
MEDICAID 0651800 AMERICHOICE
Other 110084266 AMERICHOICE
Other 13517 AMERICHOICE

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