IndividualActive
Amanda Mirmanesh, DO
NPI 1871158030 · Obstetrics & Gynecology Physician · Vineland, NJ
Provider details
- NPI number
- 1871158030
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MB11854600 (NJ)
Practice location
2950 College Dr Ste 2d
Vineland, NJ 08360-6933
Phone: (856) 641-6313
Fax: (856) 497-5350
Mailing address
1120 Delsea Dr N
Glassboro, NJ 08028-1444
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.