Individual
DR. MIMI NU TON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-4446
(973) 705-3148
Mailing address
28 W 3RD ST, APARTMENT 1419, SOUTH ORANGE, NJ 07079-1782
(973) 763-6340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
218892
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA08064000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02580936
—
NY
Enumeration date
03/23/2006
Last updated
06/17/2014
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