Active NPIIndividual providerSole proprietor

Dr. Amanda Mirmanesh, DO

Obstetrics & Gynecology in Vineland, New Jersey

NPI Number1871158030
Practice location
2950 College Dr Ste 2D, Vineland, NJ 08360-6933
Fax
856-497-5350
Last updated
August 17, 2023

Amanda Mirmanesh is an Obstetrics & Gynecology based in Vineland, NJ. Amanda Mirmanesh practices in Vineland, NJ and has the professional credentials of DO. The NPI Number for Amanda Mirmanesh is 1871158030 and holds a License No. 25MB11854600 (NJ). The current practice location address for Amanda Mirmanesh is 2950 College Dr Ste 2D, Vineland, NJ 08360-6933 and can be reached out via phone at 856-641-6313 and via fax at 856-497-5350.

Provider Profile Details

NPI Number
1871158030
Provider Name
Amanda Mirmanesh
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2950 College Dr Ste 2D, Vineland, NJ 08360-6933
Phone Number
856-641-6313
Fax Number
856-497-5350
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2019
Last Update Date
August 17, 2023
Certification Date
August 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2950 College Dr Ste 2D
Vineland, NJ 08360-6933
Zip
08360-6933
Phone Number
856-641-6313
Fax Number
856-497-5350
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1120 Delsea Dr N
Glassboro, NJ 08028-1444
City
Glassboro
State
NJ
Zip
08028-1444
Phone Number
856-507-2783

License Information

License Number
25MB11854600
License State
NJ
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amanda Mirmanesh, DO?

The NPI number of Dr. Amanda Mirmanesh, DO is 1871158030. It was assigned on May 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Amanda Mirmanesh, DO?

Dr. Amanda Mirmanesh, DO is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number 25MB11854600.

Where does Dr. Amanda Mirmanesh, DO practice?

The practice location is 2950 College Dr Ste 2D, Vineland, NJ 08360-6933. The office can be reached at 856-641-6313 (phone) or 856-497-5350 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871158030 directly on the NPPES registry website.

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