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Individual

MS. BARBARA BERGEN MINTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
333 BLOOMFIELD AVE, CALDWELL, NJ 07006-5166
(012) 618-1705
Mailing address
11 KNOLLWOOD TER, CALDWELL, NJ 07006-5808
(201) 618-1705

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
842413
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
238897
AMERIGROUP
NJ
01
3309246
AETNA US HEALTH
NJ
01
HORIZON BLUE CROSS
223452311
NJ
01
OXFORD HEALTH PLAN
P3030430
NJ
01
UNITED HEALTH CARE
215962704
NJ
Enumeration date
01/25/2007
Last updated
12/18/2023
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