Provider Demographics
NPI:1184043267
Name:MIRZA, MICHAEL ROHINTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROHINTON
Last Name:MIRZA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1 ROBERT WOOD JOHNSON PLACE
Mailing Address - Street 2:DEPT OF EMERGENCY MEDICINE MEB ROOM 104
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-235-8717
Mailing Address - Fax:
Practice Address - Street 1:1 ROBERT WOOD JOHNSON PLACE
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE MEB ROOM 104
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-235-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10285000207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine