Individual provider · Type 1 NPI

Shahin Michael Mirmanesh, MD

Specialist · Marlton, NJ

NPI number 1679505325 Active

Practice location

12000 Lincoln Dr W, Suite 405
Marlton, NJ 08053-3402

Call (856) 985-0203 Map

Fax (856) 985-0010

Mailing address

1 Star Splitter Ct
Voorhees, NJ 08043-9517

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA06992000 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679505325

Shahin Michael Mirmanesh, MD's National Provider Identifier is 1679505325, issued on Jul 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Marlton, NJ. The record was last updated on Sep 23, 2010.