Individual
RANDY T MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 LAUREL OAK RD STE 166, VOORHEES, NJ 08043-4312
(856) 309-5869
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA04920000
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA04920000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7847700
—
NJ
Enumeration date
01/31/2006
Last updated
10/07/2024
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