Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25MA09951500 | NJ |
N | 207V00000X | Obstetrician & Gynecologist | MD457512 | PA |
Y | 207V00000X | Obstetrician & Gynecologist | MT201323 | PA |
N | 207VG0400X | Gynecologist | 25MA09951500 | NJ |
N | 207VX0000X | Obstetrician | 25MA09951500 | NJ |
NPI | 1326302399 |
---|---|
Provider Name | Natalia Miranda |
First Address | Langhorne, PA 19047-1856 |
Second Address | Bordentown, NJ 08505-2248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 22/04/2021 |