Search › New Jersey › 122300000X
Miriam Fanouse
NPI 1356761456 · on the registry since 2014
Practice
- Address
- 34 Mountain Blvd
Warren, NJ 07059 - Phone
- (347) 307-1381
- Organisation at this address
- Jrd Training Llc
Summit Medical Group Pa
Warren Pediatric Associates
Jag-One Physical Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Additional practice sites
- 4802 10th Ave, Brooklyn, NY
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey