# MINO MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184540361
- **Authorized official:** TOYA CORNELIOUS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (856) 383-5101

## Contact information

- **Practice address:** 1 W RIDGEWOOD AVE STE 206, PARAMUS, NJ 07652-2361
- **Practice address phone:** (917) 707-2354
- **Mailing address:** 2810 N CHURCH ST \# 277990, WILMINGTON, DE 19802-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2026
- **Last updated:** 06/24/2026