Organization
M.J. MINTZ D.O.,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON J MINTZ DO (OWNER)
(973) 216-4009
Entity
Organization
Contact information
Practice address
13 MICHAEL CT, DOVER, NJ 07801-3714
(973) 216-4009
(862) 244-4145
Mailing address
13 MICHAEL CT, DOVER, NJ 07801-3714
(973) 216-4009
(862) 244-4145
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MB01526300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS0538
RAILROAD MEDICARE
—
Enumeration date
04/30/2018
Last updated
05/01/2018
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