Dr Amanda Mirmanesh, DO | |
2950 College Dr Ste 2d, Vineland, NJ 08360-6933 | |
(856) 641-6313 | |
(856) 497-5350 |
Full Name | Dr Amanda Mirmanesh |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 2950 College Dr Ste 2d, Vineland, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871158030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 25MB11854600 (New Jersey) | Primary |
Entity Name | Inspira Health Network Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922177856 PECOS PAC ID: 4880797570 Enrollment ID: O20070319000280 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Mirmanesh, DO 1120 Delsea Dr N, Glassboro, NJ 08028-1444 Ph: (856) 507-2783 | Dr Amanda Mirmanesh, DO 2950 College Dr Ste 2d, Vineland, NJ 08360-6933 Ph: (856) 641-6313 |
Luciano J Bispo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2950 College Dr, Ste 2f, Vineland, NJ 08360 Phone: 856-205-0606 Fax: 856-205-0044 | |
Dr. John Edward Deaver, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 302-465-1959 | |
Rodrigo Fernandez Diaz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 484 S. Brewster Rd, Vineland, NJ 08361 Phone: 856-451-4700 Fax: 203-384-4362 | |
Dr. Woojin Chong, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2950 College Drive, Suite 2a, Vineland, NJ 08360 Phone: 856-641-8680 Fax: 856-641-8679 | |
Eric M Bonifield, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1102 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-690-1025 Fax: 856-690-1352 | |
Dr. Raechel Ann Fockler, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2950 College Dr, Suite 2f, Vineland, NJ 08360 Phone: 856-205-0606 Fax: 856-205-0044 |