Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIREILLE BLANCHETTE DESROSIERS, DPM
ActiveDR. MIREILLE BLANCHETTE DESROSIERS, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MOUNTAINSIDE, New Jersey. NPI 1609127257 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · MOUNTAINSIDE, NJ
Registration Details
- NPI Number
- 1609127257
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2012 (13.93383595055 yrs)
- Last Updated
- Dec 31, 2021
- License
-
25MD00322700 (NJ)
Practice Information
- Address
-
1156 SPRINGFIELD AVEMOUNTAINSIDE, NJ, 070922906Browse NJ providers · Browse ZIP 07092
- Phone
- 9087938454
- Fax
- 9083250040
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.