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NPI Code Detail

MEDICARE: DR. MIRIAM ROSENHECK CRNA

MEDICARE:  DR. MIRIAM  ROSENHECK  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist26NJ15442100NJ

General Provider Information

NPI Number : 1063381309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRIAM ROSENHECK CRNA
Provider Business Mailing Address
First Line : 100 BOWMAN DR FL 2
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-9612
Country : US
Telephone Number : 856-247-3000
Fax Number :
Provider Business Practice Location Address
First Line : 100 BOWMAN DR FL 2
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-9612
Country : US
Telephone Number : 856-247-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 02/12/2026

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Directions to “ DR. MIRIAM ROSENHECK CRNA” Practice Location

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