Provider Demographics
NPI:1093306003
Name:MUIR, MARITZA CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:CRISTINA
Last Name:MUIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-7404
Mailing Address - Country:US
Mailing Address - Phone:305-890-5968
Mailing Address - Fax:
Practice Address - Street 1:VALLEY HEATH PARTNERS FAMILY HEALTH CENTER
Practice Address - Street 2:400 N 17TH STREET, SUITE 300
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104
Practice Address - Country:US
Practice Address - Phone:610-969-3500
Practice Address - Fax:610-969-3605
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT227402207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty