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Contact Information

IMRAN A MIRZA, MD
1132 COOPER ST
DEPTFORD TOWNSHIP, NJ08096-3014
 Phone: 856-848-8060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for IMRAN A MIRZA · (Male)

NPI Number 1376573204
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2006
Last updated 09/22/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08024700
  • PA License # MD431989
  • PA Medicaid 1019810230001
  • PA Medicaid 1019810230002
  • PA Other 1980195 BS HIGHMARK
Hospital affiliation(s)
  • CAPE REGIONAL MEDICAL CENTER INC - (Acute Care)
    TWO STONE HARBOR BLVD
    CAPE MAY COURT HOUSE, NJ 08210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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