Individual provider · Type 1 NPI

Michael Mira, MD

Student in an Organized Health Care Education/Training Program · Summit, NJ

NPI number 1659021202 Active

Practice location

99 Beauvoir Ave
Summit, NJ 07901-3533

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659021202

Michael Mira, MD's National Provider Identifier is 1659021202, issued on Mar 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Summit, NJ. The record was last updated on Mar 26, 2022.