Organization
NIKOLAY MINDADZE, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLAY MINDADZE PHYSICIAN (OWNER)
(302) 366-7671
Entity
Organization
Contact information
Practice address
774 CHRISTIANA RD, NEWARK, DE 19713-4236
(302) 366-7671
(302) 366-7549
Mailing address
774 CHRISTIANA RD, NEWARK, DE 19713-4236
(302) 366-7671
(302) 366-7549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C10008143
DE
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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