Provider Demographics
NPI:1134327786
Name:MIRONE, ROLANDE ALAM (DO)
Entity Type:Individual
Prefix:DR
First Name:ROLANDE
Middle Name:ALAM
Last Name:MIRONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1318 S MAIN RD
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6516
Mailing Address - Country:US
Mailing Address - Phone:856-691-8585
Mailing Address - Fax:856-691-8489
Practice Address - Street 1:1318 S MAIN RD
Practice Address - Street 2:BUILDING 1
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6516
Practice Address - Country:US
Practice Address - Phone:856-691-8585
Practice Address - Fax:856-691-8489
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08243100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics