Individual
DR. MITCHELL A BARUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 FRANKLIN ST, JERSEY CITY, NJ 07307-2326
(201) 216-9791
(201) 216-1362
Mailing address
120 FRANKLIN ST, JERSEY CITY, NJ 07307-2326
(201) 216-9791
(201) 216-1363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05999700
NJ
207UN0901X
Nuclear Cardiology Physician
25MA05999700
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA05999700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5657601
—
NJ
Enumeration date
04/21/2006
Last updated
01/11/2019
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