Individual
MINA GHALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA12046800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103671057
—
PA
Enumeration date
04/15/2013
Last updated
11/06/2024
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