Mirsky, Kenneth I

Mirsky, Kenneth I is an individual health care provider with primary practice located at 2 Lincoln Highway Suite 500, Edison NJ 08820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mirsky, Kenneth I can be contacted via phone (732) 494-1444.

Contact Information

Primary practice address
2 Lincoln Highway Suite 500 Edison NJ 08820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA03801700 New Jersey

Profile Details

NPI number 1912098765
LBN Legal business name Mirsky, Kenneth I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912098765 NPPES
New Jersey MEDICAID 2048701

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