Organization
RICHARD A.MINGIONEMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TASHIANA WALKER MA (OFFICE MANAGER)
(609) 347-7135
Entity
Organization
Contact information
Practice address
4127 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5829
(609) 347-7135
(609) 347-6336
Mailing address
4127 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5829
(609) 347-7135
(609) 347-6336
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA37937
NJ
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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