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Mirtha J Macri, D.O.

Emergency Medicine in Summit, NJ. Individual provider (NPI-1).

NPI number1760629034
StatusActive
Last updated in NPPESApr 17, 2014

Details

NPI
1760629034
Entity type
Individual (NPI-1)
Name
Mirtha J Macri
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2009
Last updated
Apr 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine270542NYYes
207P00000X Emergency Medicine25MB08909200NJ

Practice location

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone 908-400-8951

Mailing address

99 Beauvoir Ave
Summit, NJ 07901-3533

Phone 908-400-8951

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