Mirsky, Robert G.
Mirsky, Robert G. is an sole proprietor health care provider with primary practice located at 745 Northfield Avenue , West Orange NJ 07052-1144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mirsky, Robert G. can be contacted via phone (973) 736-1016.Contact Information
Primary practice address
745 Northfield Avenue
West Orange NJ 07052-1144
Phone: (973) 736-1016
Fax: (973) 736-4869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MA36047 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA03604700 | New Jersey |
Profile Details
| NPI number | 1326145111 |
|---|---|
| LBN Legal business name | Mirsky, Robert G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 9th, 2023 - about last year |
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 | 1326145111 | NPPES |
| New Jersey | MEDICAID | 0297003 | |
| New Jersey | Other | 441181949 |
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