Individual
GEORGE MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
409 COVENTRY DR, PHILLIPSBURG, NJ 08865-1969
(908) 213-0029
(908) 213-9393
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD.0000915
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00346700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N006894-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4001
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
POD.0000915
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2015
Last updated
01/27/2023
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