Dr Shahram Jay Mirmanesh, MD, MBA | |
12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402 | |
(856) 985-8100 | |
(856) 985-8374 |
Full Name | Dr Shahram Jay Mirmanesh |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 41 Years |
Location | 12000 Lincoln Dr W, Marlton, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750335360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA05186900 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocare Llc | 3678562188 | 297 |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
---|---|
Dr Shahram Jay Mirmanesh, MD, MBA 3 Woodbrook Rd, Voorhees, NJ 08043-2840 Ph: (856) 768-5336 | Dr Shahram Jay Mirmanesh, MD, MBA 12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402 Ph: (856) 985-8100 |
Dr. Catherine Daphne Nicolaides, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 733 E Route 70, Building 2, Suite 201, Marlton, NJ 08053 Phone: 856-983-6675 Fax: 856-983-5243 | |
Dr. Howard S Waxman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Route 73 S, Suite 102, Marlton, NJ 08053 Phone: 856-596-3434 Fax: 856-596-9110 | |
Dr. Carmine Donato Monaco, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Route 73 S, Ste 307a, Marlton, NJ 08053 Phone: 856-983-9666 Fax: 856-983-2662 | |
Dr. Bryan H Levey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 475 Old Marlton Pike W, Suite 4, Marlton, NJ 08053 Phone: 609-662-5437 Fax: 609-858-6120 | |
Amandeep Sandhu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 54 E Main St, Marlton, NJ 08053 Phone: 856-988-0570 | |
Devon Elizabeth Ganter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 651 Route 73 N Ste 311, Marlton, NJ 08053 Phone: 856-985-8100 | |
Dr. Benjamin A Rosenblum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Old Marlton Pike W, Suite 1, Marlton, NJ 08053 Phone: 856-988-9101 Fax: 856-988-7712 |