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Organization

MASTERMIND HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EZINNE U NWOTITE M.D. (PROVIDER)
(609) 748-4199
Entity
Organization

Contact information

Practice address
1925 PACIFIC AVE, WELLNESS PAVILLION 5TH FLOOR, ATLANTIC CITY, NJ 08401
(609) 910-4500
(732) 693-1214
Mailing address
PO BOX 161, LINWOOD, NJ 08221-0161
(609) 365-8120
(609) 365-8207

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/20/2021
Last updated
12/20/2021
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