IndividualActive
Anthony Miranda
NPI 1306662960 · Surgical Physician Assistant · Plymouth, MA
Provider details
- NPI number
- 1306662960
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA102473 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
41 Resnik Rd
Plymouth, MA 02360-5721
Phone: (781) 934-2400
Fax: (508) 746-3930
Approximate (ZIP-level) locationGet directions
Mailing address
41 Resnik Rd
Plymouth, MA 02360-5721
Registry dates
- Enumerated
- 2024-11-28
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.