Miriam Fox
Physician Assistant in West Orange, NJ. Individual provider (NPI-1).
NPI number1962885301
StatusActive
Last updated in NPPESJul 2, 2015
Details
- NPI
- 1962885301
- Entity type
- Individual (NPI-1)
- Name
- Miriam Fox
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2015
- Last updated
- Jul 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00337000 | NJ | Yes |
| 363A00000X | Physician Assistant | 018253-1 | NY |
Practice location
347 Mount Pleasant AveSuite 205
West Orange, NJ 07052-2744
Phone 973-571-2121
Mailing address
347 Mount Pleasant AveSuite 205
West Orange, NJ 07052-2744
Phone 973-571-2121
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All 29 Physician Assistant providers in West Orange · All 2,010 providers in West Orange
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