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DR. MIRIC NEUROLOGY CENTER NPI 1346417409


NPI Information

NPI: 1346417409
Provider Name: DR. MIRIC NEUROLOGY CENTER
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 31D2139631

Address:
35 W MAIN ST
SUITE 103
DENVILLE, NJ
ZIP 07834
Phone: (973) 625-0588
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DR. MIRIC NEUROLOGY CENTER is a neurology psychiatry neurology in Denville, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. MIRIC NEUROLOGY CENTER NPI is 1346417409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 W MAIN ST
SUITE 103
DENVILLE, NJ
ZIP 07834-174
Phone: (973) 625-0588
Fax: (973) 625-0589

The provider's authorized official is Slobodan Miric .
The authorized official title is Owner and has the following contact phone number (973) 625-0588.

The CLIA number assigned to this NPI record is 31D2139631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology25MA08380900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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