Organization
MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
307 EGG HARBOR RD, SEWELL, NJ 08080-1850
(866) 389-2727
(401) 406-3539
Mailing address
PO BOX 772, MINUTECLINIC CREDENTIALING, WOONSOCKET, RI 02895-0784
(866) 389-2727
(401) 406-3539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO1876
MEDICARE RAILROAD
NJ
Enumeration date
06/11/2006
Last updated
04/30/2024
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