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Dr. Shahin Michael Mirmanesh, MD
Specialist in Marlton, New Jersey
NPI 1679505325

Shahin Michael Mirmanesh is a Specialist based in Voorhees, NJ. Shahin Michael Mirmanesh practices in Marlton, NJ and has the professional credentials of MD. The NPI Number for Shahin Michael Mirmanesh is 1679505325 and holds a License No. 25MA06992000 (New Jersey).

The current practice location address for Shahin Michael Mirmanesh is 12000 Lincoln Dr W, Marlton, NJ and can be reached out via phone at 856-985-0203 and via fax at 856-985-0010.

Location: 12000 Lincoln Dr W, Marlton, NJ, 08043-9517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679505325
Provider Name
Shahin Michael Mirmanesh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12000 Lincoln Dr W, Marlton, NJ, 08043-9517
Phone Number
856-985-0203
Fax Number
856-985-0010
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8584800 05 NJ
institution
Provider Business Practice Location Address Details
Address
12000 Lincoln Dr W
City
Marlton
State
New Jersey
Zip
08053-3402
Phone Number
856-985-0203
Fax Number
856-985-0010
person
Provider Business Mailing Address Details
Address
12000 Lincoln Dr W
City
Marlton
State
New Jersey
Zip
08053-3402
Phone Number
856-985-0203
Fax Number
856-985-0010
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA06992000 (New Jersey)
Definition
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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