Individual
DR. MITCHELL JEROLD HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
74 OAKWOOD AVE, MONTCLAIR, NJ 07043-1917
(973) 233-9143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
197042
NY
207P00000X
Emergency Medicine Physician
Primary
25MA06586300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872733
—
NY
05
—
7375808
—
NJ
Enumeration date
01/30/2006
Last updated
04/25/2024
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