Ranoewidjojo, Miyasari

Ranoewidjojo, Miyasari is an individual health care provider with primary practice located at 30 Prospect Ave Hackensack University Medical Center, Hackensack NJ 07601-1914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ranoewidjojo, Miyasari can be contacted via phone (201) 996-4614.

Contact Information

Primary practice address
30 Prospect Ave Hackensack University Medical Center Hackensack NJ 07601-1914
Phone: (201) 996-4614
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00118300 New Jersey

Profile Details

NPI number 1033324645
LBN Legal business name Ranoewidjojo, Miyasari
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Dec 13th, 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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