Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MERRILL JAY MIRMAN, D.O.
Active Sole ProprietorDR. MERRILL JAY MIRMAN, D.O. is a Vascular Surgery healthcare provider located in MEDIA, Pennsylvania. NPI 1760478697 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MEDIA, PA
Registration Details
- NPI Number
- 1760478697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2005 (20.891971641033 yrs)
- Last Updated
- Jan 22, 2021
- Licenses
-
RP024664L (PA)OS002340L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 BONNIE LNMEDIA, PA, 190635606Browse PA providers · Browse ZIP 19063
- Phone
- 6103617878
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
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.