IMELDA R MIRANDA

Dr IMELDA R MIRANDA is a female medical professional, specializing in Internal Medicine. She graduated in 1982.

Contact

7611 S OSBORNE
SUITE 106
UPPR MARLBORO
MD
207724200

Tel:

IMELDA R MIRANDA Information

Npi 1578510681
Pac Id 4082625777
Professional Enrollment Id I20111229000180
Last Name MIRANDA
First Name IMELDA
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1982
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 7611 S OSBORNE
Line 2 Street Address SUITE 106
Marker Of Address Line 2 Suppression
City UPPR MARLBORO
State MD
Zip Code 207724200
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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