Provider Demographics
NPI:1912317892
Name:WARSHAUER, EMILY MIRA (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MIRA
Last Name:WARSHAUER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4335
Mailing Address - Country:US
Mailing Address - Phone:732-295-0100
Mailing Address - Fax:
Practice Address - Street 1:2424 BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-4335
Practice Address - Country:US
Practice Address - Phone:732-295-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10513500207N00000X
CODR.0060905207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology